Caitlyn Mackenzie Mitchell, MA, LGPC

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LGP11756 Issued in MD

Practice address

3094 Charles Town Rd
Kearneysville, WV 25430-2669

Phone

(703) 049-0120

NPI assigned

Nov 3, 2020

Last updated

Oct 20, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mountaineer Behavioral Health

  dba Mountaineer Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Kearneysville, WV
  • NPI 1780135863
  NPD

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

{
    "created_epoch": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666224000000",
    "number": "1699376194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 AIKENS CTR STE 304",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254046201",
            "telephone_number": "304-440-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3094 CHARLES TOWN RD",
            "city": "KEARNEYSVILLE",
            "state": "WV",
            "postal_code": "254302669",
            "telephone_number": "703-049-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "CAITLYN",
        "middle_name": "MACKENZIE",
        "credential": "MA, LGPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2022-10-20",
        "certification_date": "2022-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MD",
            "license": "LGP11756",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Mary Lyle, LGSW
• Lakin Madison
• Angela Matthews
• Anne McClure Crosbie
• Middleway Volunteer Fire Company Inc
• Amanda Molina Gollnitz
• Christopher Lynn Monroe, QMHP, MSW
• Mountaineer Behavioral Health (Mountaineer Recovery Center)
• Tuyet Van Nguyen
• Jan Augusta Nieves, PMHNP-BC (APRN)

• Counselor in Kearneysville, WV
• Providers in Kearneysville, WV by specialty
• Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; 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.