Individual provider Active NPI

Dwayne F Masters

  • Mental Health Counselor
  • Beckley, WV
National Provider Identifier
1316100522
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
AP00940097 Issued in WV
Practice address
130 George St # 6
Suite E-F
Beckley, WV 25801-2648
Phone
(304) 256-0200
Fax
(304) 256-0380
NPI assigned
Jul 8, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AP00940097 WV Primary

Addresses

Primary practice location

130 George St # 6
Suite E-F
Beckley, WV 25801-2648

Mailing address

130 George St # 6
Suite E-F
Beckley, WV 25801-2648
Phone (304) 256-0200

Other identifiers 1

IdentifierTypeStateIssuer
AP00940097OtherWVSOCIAL WORK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610000369 WV Practitioner - Mental Health Counselor 9931128527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

130 George St
Suite E F
Beckley, WV 25801-2648
Phone (304) 256-0200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AP00940097WVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Pyramid Counseling Limited Liability Company Mental Health CurrentSince Dec 26, 2023 Accepting new patients

Locations

130 George St
Ste Ef
Beckley, WV 25801
Phone (304) 256-0200

3738 Davis Stuart Rd
Lewisburg, WV 24901
Phone (304) 645-3207

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1316100522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GEORGE ST # 6",
            "address_2": "SUITE E-F",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012648",
            "telephone_number": "304-256-0200",
            "fax_number": "304-256-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GEORGE ST # 6",
            "address_2": "SUITE E-F",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012648",
            "telephone_number": "304-256-0200",
            "fax_number": "304-256-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTERS",
        "first_name": "DWAYNE",
        "middle_name": "F",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "AP00940097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOCIAL WORK",
            "identifier": "AP00940097",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

Verify at the official NPI Registry.