Individual provider Active NPI

Teresa Stire

  • Counseling Psychologist
  • Morgantown, WV
National Provider Identifier
1609222348
Registry record updated May 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
1138 Issued in WV
Practice address
1224 Pineview Dr Ste B
Morgantown, WV 26505-0708
Phone
(304) 692-1131
NPI assigned
May 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 1138 WV Primary

Addresses

Primary practice location

1224 Pineview Dr Ste B
Morgantown, WV 26505-0708

Mailing address

49 Park Ridge Dr
Morgantown, WV 26508-4032
Phone (304) 692-1131

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20161101000352 WV Practitioner - Clinical Psychologist 6507144284

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
1138WVMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Winding Way LLC Counseling CurrentSince Sep 28, 2021 Accepting new patients

Organizations & group practices 1

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": "1463011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463011200000",
    "number": "1609222348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PARK RIDGE DR",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265084032",
            "telephone_number": "304-692-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1224 PINEVIEW DR STE B",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265050708",
            "telephone_number": "304-692-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STIRE",
        "first_name": "TERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-05-12",
        "last_updated": "2016-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "WV",
            "license": "1138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.