Organization Active NPI

Two Rivers Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charles Town, WV
National Provider Identifier
1508137969
Registry record updated Dec 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
TWO RIVERS COUNSELING LLC
Practice address
224 E Liberty St
Charles Town, WV 25414-1824
Phone
(304) 725-7176
NPI assigned
Jan 17, 2012
Last updated
Dec 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2024

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

Authorized official

Name
Mrs. Robyn Harrison-Taft, LPCNPI 1376839886
Title
Owner
Phone
(304) 579-3272

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary
Counselor 101Y00000X 2010 WV

Addresses

Primary practice location

224 E Liberty St
Charles Town, WV 25414-1824

Mailing address

224 E Liberty St
Charles Town, WV 25414-1824
Phone (304) 725-7176

Other practice location 1

409 W King St
Martinsburg, WV 25401-3203
Phone (304) 579-3272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20250211002914 WV Part B Supplier - Clinic/Group Practice 1355871989 Receives reassigned benefits from 5 practitioners
Practice locations: Charles Town, WV
O20250904002752 VA Part B Supplier - Clinic/Group Practice 1355871989 Receives reassigned benefits from 2 practitioners
Practice locations: Leesburg, VA

National Provider Directory

National Provider Directory

Locations

312 E Market St
Leesburg, VA 20176
Phone (302) 897-2528

312 E Market St
Ste F
Leesburg, VA 20176
Phone (304) 725-7176

224 E Liberty St
Charles Town, WV 25414
Phone (304) 725-7176

409 W King St
Martinsburg, WV 25401
Phone (304) 579-3272

Practitioners & affiliated clinicians

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733788800000",
    "number": "1508137969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E LIBERTY ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141824",
            "telephone_number": "304-725-7176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E LIBERTY ST",
            "city": "CHARLES TOWN",
            "state": "WV",
            "postal_code": "254141824",
            "telephone_number": "304-725-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "409 W King St",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254013203",
            "country_code": "US",
            "telephone_number": "304-579-3272",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TWO RIVERS COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-17",
        "last_updated": "2024-12-10",
        "certification_date": "2024-12-10",
        "status": "A",
        "authorized_official_last_name": "HARRISON-TAFT",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-579-3272",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "WV",
            "license": "2010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charles Town, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.