Individual provider Active NPI

Kacey Nowlin, MA, LPC

  • Professional Counselor
  • Saint Albans, WV
National Provider Identifier
1558789172
Registry record updated Sep 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2097 Issued in WV
Practice address
200 Kanawha Ter
Saint Albans, WV 25177-2867
Phone
(304) 760-9945
NPI assigned
Apr 1, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 2097 WV
Professional Counselor 101YP2500X 2097 WV Primary

Addresses

Primary practice location

200 Kanawha Ter
Saint Albans, WV 25177-2867

Mailing address

PO Box 172
Culloden, WV 25510-0172
Phone (304) 760-9945

Other identifiers 1

IdentifierTypeStateIssuer
0005355002MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
2097WVMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
GR&W, Inc CurrentSince Jan 1, 2024 Accepting new patients
Aspire to Inspire Behavioral Health and Addiction Services, LLC Professional PastSince Sep 27, 2020 Accepting new patients
GR&W, Inc PastSince Nov 18, 2025 Accepting new patients

Locations

400 Foxcroft Ave
Martinsburg, WV 25401
Phone (304) 443-1408

400 Foxcroft Ave
Ste 104
Martinsburg, WV 25401
Phone (304) 513-3495

1005 White Willow Way
Morgantown, WV 26505
Phone (304) 212-7238

1100 Main St
Ste 104
Wheeling, WV 26003
Phone (304) 443-1414

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1558789172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 172",
            "city": "CULLODEN",
            "state": "WV",
            "postal_code": "255100172",
            "telephone_number": "304-760-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 KANAWHA TER",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772867",
            "telephone_number": "304-760-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOWLIN",
        "first_name": "KACEY",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-01",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "2097",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005355002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, WV

Sources for this page

Verify at the official NPI Registry.