Individual provider Active NPI

Jennifer Myers, PH.D.

  • Clinical Psychologist
  • Morgantown, WV
National Provider Identifier
1376780221
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
926 Issued in WV
Practice address
100 Corporate Dr
Morgantown, WV 26501-4580
Phone
(304) 241-1766
Fax
(304) 381-2648
NPI assigned
Jan 14, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 926 WV
Forensic Psychologist 103TF0200X 926 WV
Clinical Psychologist 103TC0700X 926 WV Primary

Addresses

Primary practice location

100 Corporate Dr
Morgantown, WV 26501-4580

Mailing address

100 Corporate Dr
Morgantown, WV 26501-4580
Phone (304) 241-1766

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
I20120516000292 WV Practitioner - Clinical Psychologist 9234392929 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountaineer Psychological ServicesGroup PAC ID 5799074191, 4 clinicians

Practice addresses (Care Compare)

100 Corporate Dr
Morgantown, WV 26501-4580
Phone (304) 241-1766

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

Practice roles

OrganizationSpecialtyStatusNew patients
Mountaineer Psychological Services, PLLC Clinical CurrentSince Nov 18, 2014 Accepting new patients
Fremouw Sigley & Baker Psychological Associates PLLC Clinical PastSince Oct 24, 2021 Accepting new patients

Locations

100 Corporate Dr
Morgantown, WV 26501
Phone (304) 241-1766

Organizations & group practices 2

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": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1376780221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CORPORATE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265014580",
            "telephone_number": "304-241-1766",
            "fax_number": "304-381-2648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CORPORATE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265014580",
            "telephone_number": "304-241-1766",
            "fax_number": "304-381-2648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "JENNIFER",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-01-14",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "926",
            "primary": false
        },
        {
            "code": "103TF0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Forensic",
            "state": "WV",
            "license": "926",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WV",
            "license": "926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.