Blue Cardinal Counseling PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLUE CARDINAL COUNSELING PLLC

Practice address

235 High St Ste 509
Morgantown, WV 26505-5454

Phone

(304) 602-7332

NPI assigned

Apr 19, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Keegan Daniel Campbell, LICSWNPI 1124729306

Title

Owner, Behavioral Therapist

Phone

(304) 996-3639

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Keegan Daniel Campbell, LICSW

  • Clinical Social Worker
  • Morgantown, WV
  • NPI 1124729306

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715126400000",
    "number": "1659068724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 HIGH ST STE 509",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055454",
            "telephone_number": "304-602-7332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 HIGH ST STE 509",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265055454",
            "telephone_number": "304-602-7332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE CARDINAL COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2024-05-08",
        "certification_date": "2024-05-08",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "KEEGAN",
        "authorized_official_middle_name": "DANIEL",
        "authorized_official_title_or_position": "OWNER, BEHAVIORAL THERAPIST",
        "authorized_official_telephone_number": "304-996-3639",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Blosser
• Kara Beth Blosser, OTR L
• Lisa K Blosser, PSYCHOLOGIST
• Lora Lee Blosser
• Tiffany Blosser
• Frederick C Blum, M.D.
• Steven Blume, MD
• Thomas Edward Blume, MD
• Barbara Blumish, LICSW
• Chelsea Bly, BS

• Clinical Social Worker in Morgantown, WV
• Providers in Morgantown, WV by specialty
• Clinical Social Worker in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2024; 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.