Active NPI
Kayla Renee Grogg Meador, MSW, LGSW
- Social Worker
- Morgantown, WV
National Provider Identifier
1447715289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- BP00945167
- Practice address
- 425 Industrial Ave Ste 201
Morgantown, WV 26505-2287 - Phone
- (304) 914-1942
- NPI assigned
- Feb 6, 2019
- Last updated
- Aug 11, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| BP00945167 | WV | MD | Social Worker |
| DP00945167 | WV | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kayla Meador Counseling LLC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Morgantown, WV
- NPI 1598335820
-
- Mental Health Counselor
- Morgantown, WV
- NPI 1831890888
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.