Organization Active NPI

Banyan Tree Counseling Group

  • Mental Health Counselor
  • Morgantown, WV
National Provider Identifier
1689185704
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1807 Issued in WV
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, NCCNPI 1194907626
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.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180116001072 WV Part B Supplier - Clinic/Group Practice 1153680343 Receives reassigned benefits from 5 practitioners
Practice locations: Morgantown, WV

National Provider Directory

National Provider Directory

Locations

1063 Maple Dr
Ste 1
Morgantown, WV 26505
Phone (304) 599-5751

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 1807 WV Primary

Addresses

NPPES NPI Registry

Primary 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 Doing business as

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.

Verify at the official NPI Registry.