Individual provider Active NPI

Julie M Preast, LPC

  • Professional Counselor
  • Fayetteville, WV
National Provider Identifier
1366264947
Registry record updated Apr 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3081 Issued in WV
Practice address
209 W Maple Ave
Fayetteville, WV 25840-1413
Phone
(304) 574-2100
NPI assigned
Oct 25, 2024
Last updated
Apr 4, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3081 WV Primary

Addresses

Primary practice location

209 W Maple Ave
Fayetteville, WV 25840-1413

Mailing address

209 W Maple Ave
Fayetteville, WV 25840-1413
Phone (304) 574-2100

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
I20251113004713 WV Practitioner - Mental Health Counselor 5294226643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FMRS Health Systems IncGroup PAC ID 6406747914, 9 clinicians

Practice addresses (Care Compare)

209 W Maple St
Fayetteville, WV 25840-1413
Phone (304) 574-2100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3081WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
FMRS Health Systems Inc CurrentSince Aug 17, 2025 Accepting new patients

Locations

101 S Eisenhower Dr
Beckley, WV 25801
Phone (304) 252-8651

209 W Maple Ave
Fayetteville, WV 25840
Phone (304) 574-2100

201 Madison St
Hinton, WV 25951
Phone (304) 466-3899

55 Middle St
Union, WV 24983
Phone (304) 772-5452

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1366264947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 W MAPLE AVE",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258401413",
            "telephone_number": "304-574-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 W MAPLE AVE",
            "city": "FAYETTEVILLE",
            "state": "WV",
            "postal_code": "258401413",
            "telephone_number": "304-574-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PREAST",
        "first_name": "JULIE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-25",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "3081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, WV

Sources for this page

Verify at the official NPI Registry.