Active NPI
Banyan Tree Counseling Group
- Mental Health Counselor
- Morgantown, WV
National Provider Identifier
1689185704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 1807
- Legal business name
- BANYAN TREE COUNSELING GROUP
- Practice address
- 1063 Maple Dr
Morgantown, WV 26505-0387 - Phone
- (304) 626-5824
- NPI assigned
- Oct 16, 2017
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Dr. Nancy S Taylor, PHD, LPC, RN, NCC
- Title
- Owner
- Phone
- (304) 626-5824
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Morgantown, WV
- NPI 1730750936
-
- Clinical Psychologist
- Fairmont, WV
- NPI 1841706637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180116001072 | WV | Part B Supplier - Clinic/Group Practice | 1153680343 |
Receives reassigned benefits from 5 practitioners Practice locations: Morgantown, WV |
National Provider Directory
National Provider DirectoryLocations
1063 Maple Dr
Ste 1
Morgantown, WV 26505
Phone (304) 599-5751
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1807 | WV | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1063 Maple Dr
Morgantown, WV 26505-0387
Mailing address
1063 Maple Dr Ste 1
Morgantown, WV 26505-0387
Phone (304) 626-5824
Other names 1
NPPES NPI Registry- Morgantown Counseling Center, MPCC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 30, 2024.
{
"created_epoch": "1508112000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717027200000",
"number": "1689185704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1063 MAPLE DR STE 1",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265050387",
"telephone_number": "304-626-5824",
"fax_number": "304-599-2124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1063 MAPLE DR",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265050387",
"telephone_number": "304-626-5824"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BANYAN TREE COUNSELING GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2017-10-16",
"last_updated": "2024-05-30",
"certification_date": "2024-05-30",
"status": "A",
"authorized_official_last_name": "TAYLOR",
"authorized_official_first_name": "NANCY",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-626-5824",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LPC, RN, NCC"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "1807",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Morgantown Counseling Center, MPCC",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Morgantown, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.