Mountaineer Case Management

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

License

10211817 Issued in WV

Legal business name

MOUNTAINEER CASE MANAGEMENT

Doing business as

Mountaineer Case Management

Practice address

1445 Park Side Est
Fairmont, WV 26554-6109

Phone

(304) 476-6698

NPI assigned

Jun 7, 2010

Last updated

Jun 7, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William B Dickey, MSCRCLPCNPI 1417275249

Title

Administrator

Phone

(304) 476-6698

Specialties & licenses 1

Addresses

Other names 1

• Mountaineer Case Management Doing business as

Practitioners 1

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.

• William B Dickey, MSQRPCRCLPC

  • Addiction (Substance Use Disorder) Counselor
  • Fairmont, WV
  • NPI 1417275249
  NPD (past) Authorized official

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

{
    "created_epoch": "1275868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275868800000",
    "number": "1518287051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 PARK SIDE EST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265546109",
            "telephone_number": "304-476-6698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 PARK SIDE EST",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265546109",
            "telephone_number": "304-476-6698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAINEER CASE MANAGEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-07",
        "last_updated": "2010-06-07",
        "status": "A",
        "authorized_official_last_name": "DICKEY",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "304-476-6698",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSCRCLPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "WV",
            "license": "10211817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mountaineer Case Management",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• De Sean Mosley
• Christine Lynn Mott, CFNP
• Mountain Grace Women's Wellness Center LLC
• Mountain River Physical Therapy, LLC
• Mountain State Physical Therapy LLC (Mountain State Physical Therapy)
• Mountaineer Life Enrichment Center, LLC
• Sierra Michelle Mounts
• Erica Nicole Mouser, MOT/L
• Rachel Moye
• Nancy Moyer

• Case Management Agency in Fairmont, WV
• Providers in Fairmont, WV by specialty
• Case Management Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2010; 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.