Individual provider Active NPI

Kayla Renee Grogg Meador, MSW, LGSW

  • Social Worker
  • Morgantown, WV
National Provider Identifier
1447715289
Registry record updated Aug 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
BP00945167 Issued in WV
Practice address
425 Industrial Ave Ste 201
Morgantown, WV 26505-2287
Phone
(304) 914-1942
NPI assigned
Feb 6, 2019
Last updated
Aug 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X BP00945167 WV Primary
Clinical Social Worker 1041C0700X DP00945167 WV

Addresses

Primary practice location

425 Industrial Ave Ste 201
Morgantown, WV 26505-2287

Mailing address

101 Summits RDG
Morgantown, WV 26508-8404
Phone (304) 820-5620

Other practice location 1

2000 Coombs Farm Rd Ste 106
Morgantown, WV 26508-1126
Phone (304) 381-2211

Other names 1

  • Ms. Kayla Renee Grogg Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
BP00945167WVMDSocial Worker
DP00945167WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Kayla Meador Counseling LLC CurrentSince Aug 15, 2021 Accepting new patients
Unbound Counseling LLC Past Accepting new patients

Locations

425 Industrial Ave
Ste 201
Morgantown, WV 26505
Phone (304) 241-1854

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, 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": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628640000000",
    "number": "1447715289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SUMMITS RDG",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088404",
            "telephone_number": "304-820-5620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 INDUSTRIAL AVE STE 201",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265052287",
            "telephone_number": "304-914-1942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Coombs Farm Rd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265081126",
            "country_code": "US",
            "telephone_number": "304-381-2211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GROGG MEADOR",
        "first_name": "KAYLA",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "credential": "MSW, LGSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2021-08-11",
        "certification_date": "2021-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "WV",
            "license": "BP00945167",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00945167",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAYLA",
            "last_name": "GROGG",
            "middle_name": "RENEE",
            "prefix": "MS.",
            "credential": "MSW, LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Aug 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.