Active NPI
Keith Lee Rieder, ED.D.
- Counseling Psychologist
- Morgantown, WV
National Provider Identifier
1417922360
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counseling Psychologist
- License
- 580
- Practice address
- 1061 Maple Dr
Suite 1
Morgantown, WV 26505-2814 - Phone
- (304) 599-5751
- Fax
- (304) 599-2124
- NPI assigned
- Feb 22, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counseling Psychologist | 103TC1900X | 580 | WV | Primary |
Addresses
Primary practice location
1061 Maple Dr
Suite 1
Morgantown, WV 26505-2814
Mailing address
1061 Maple Dr
Suite 1
Morgantown, WV 26505-2814
Phone (304) 599-5751
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0164008000 | Medicaid | WV | |
| Y295240 | Other | WV | MAGELLAN/HEALTH PLAN |
| 047096 | Other | WV | VALUE OPTIONS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100909000108 | PA | Practitioner - Clinical Psychologist | 8022142074 | Practice locations: Mt Morris, PA; Waynesburg, PA |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
160 Rolling Meadows Rd
Waynesburg, PA 15370-2429
Phone (304) 685-2930
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgantown Pastoral Counseling Center Inc | Past | Accepting new patients | |
| GR&W, Inc | Past | Accepting new patients |
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.
-
- Clinical Neuropsychologist
- Morgantown, WV
- NPI 1407192024
-
- Professional Counselor
- Morgantown, WV
- NPI 1619040805
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417922360",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1061 MAPLE DR",
"address_2": "SUITE 1",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052814",
"telephone_number": "304-599-5751",
"fax_number": "304-599-2124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1061 MAPLE DR",
"address_2": "SUITE 1",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265052814",
"telephone_number": "304-599-5751",
"fax_number": "304-599-2124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIEDER",
"first_name": "KEITH",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "ED.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "WV",
"license": "580",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0164008000",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN/HEALTH PLAN",
"identifier": "Y295240",
"state": "WV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "047096",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.