NPIMap

Organization Active NPI

Council of the Southern Mountains

  • Community/Behavioral Health Agency
  • Welch, WV
National Provider Identifier
1558896993
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
384 Issued in WV
Legal business name
COUNCIL OF THE SOUTHERN MOUNTAINS
Practice address
148 McDowell St
Welch, WV 24801-2225
Phone
(304) 436-6800
Fax
(304) 436-6803
NPI assigned
Apr 24, 2017
Last updated
Apr 24, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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

Authorized official

Name
Randal Johnson, M.A.NPI 1407447030
Title
Executive Director
Phone
(304) 436-6800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 384 WV Primary

Addresses

Primary practice location

148 McDowell St
Welch, WV 24801-2225

Mailing address

148 McDowell St
Welch, WV 24801-2225
Phone (304) 436-6800

National Provider Directory

National Provider Directory
Tax ID family
Council of the Southern Mountains7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492992000000",
    "number": "1558896993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 MCDOWELL ST",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012225",
            "telephone_number": "304-436-6800",
            "fax_number": "304-436-6803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "148 MCDOWELL ST",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012225",
            "telephone_number": "304-436-6800",
            "fax_number": "304-436-6803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNCIL OF THE SOUTHERN MOUNTAINS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "RANDAL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "304-436-6800",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "WV",
            "license": "384",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Welch, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.