Beth Stafford, M.S.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

1090 Issued in WV

Practice address

321 W Main St Ste 400
Clarksburg, WV 26301-0102

Phone

(304) 622-5323

Fax

(304) 622-5324

NPI assigned

Jul 7, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Psychologist

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Valley Comprehensive Community Mental Health Center, Inc.

  • Mental Health Counselor
  • Morgantown, WV
  • NPI 1861476350
  Medicare reassignment NPD
• Family & Marital Counseling Center, Inc.

  • Psychologist
  • Clarksburg, WV
  • NPI 1124433511
  NPD (past)
• Family & Marital Counseling Center, Inc.

  • Professional Counselor
  • Weston, WV
  • NPI 1962554618
  NPD (past)
• Valley Comprehensive Community Mental Health Center

  • Community/Behavioral Health Agency
  • Morgantown, WV
  • NPI 1154740660
  NPD (past)

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1457767808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 W MAIN ST STE 400",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263010102",
            "telephone_number": "304-622-5323",
            "fax_number": "304-622-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 W MAIN ST STE 400",
            "city": "CLARKSBURG",
            "state": "WV",
            "postal_code": "263010102",
            "telephone_number": "304-622-5323",
            "fax_number": "304-622-5324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAFFORD",
        "first_name": "BETH",
        "credential": "M.S.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-07",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "WV",
            "license": "1090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spero Health of West Virginia, LLC
• Walter Spouse
• Jayce Michael Spring, LPN
• Bradley J. Sprouse, H.I.S.
• Holly Marie Sprouse
• Lisa Sherice Staley, MS
• Sierra Dawn Stanley
• Miranda Starkey-Hollen
• Laura Jean Stavrakis, PAC
• Jill Steach

• Psychologist in Clarksburg, WV
• Providers in Clarksburg, WV by specialty
• Psychologist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.

Verify at the official NPI Registry.