Individual provider Active NPI

Tiara Dean, LPC

  • Addiction (Substance Use Disorder) Counselor
  • Morgantown, WV
National Provider Identifier
1639614019
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1005 White Willow Way
Morgantown, WV 26505-6119
Phone
(304) 513-3495
Fax
(800) 734-8498
NPI assigned
Dec 21, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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 2229 WV
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1005 White Willow Way
Morgantown, WV 26505-6119

Mailing address

1005 White Willow Way
Morgantown, WV 26505-6119
Phone (304) 513-3495

Other practice location 1

1023 Pittsburgh Rd
uniontown, PA 15401
Phone (724) 912-6800 ext. 27044

Other names 1

  • Tiara Wynn Former name

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
I20260324001316 WV Practitioner - Mental Health Counselor 0547744989 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grandw IncGroup PAC ID 9739324922, 93 clinicians

Practice addresses (Care Compare)

1005 White Willow Way
Morgantown, WV 26505-6119
Phone (304) 460-5123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2229WVMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
GR&W, Inc CurrentSince Mar 16, 2026 Accepting new patients
GR&W, Inc CurrentSince Mar 16, 2026 Accepting new patients

Locations

1005 White Willow Way
Ste 0
Morgantown, WV 26505

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

Organizations & group practices 2

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": "1482278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1639614019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1005 WHITE WILLOW WAY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265056119",
            "telephone_number": "304-513-3495",
            "fax_number": "800-734-8498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 WHITE WILLOW WAY",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265056119",
            "telephone_number": "304-513-3495",
            "fax_number": "800-734-8498"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1023 Pittsburgh Rd",
            "address_purpose": "LOCATION",
            "city": "uniontown",
            "state": "PA",
            "postal_code": "15401",
            "country_code": "US",
            "telephone_number": "724-912-6800 x27044",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEAN",
        "first_name": "TIARA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-21",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "2229",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIARA",
            "last_name": "WYNN",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morgantown, WV

Sources for this page

Verify at the official NPI Registry.