Active NPI
Susan Buric, MA LPC
- Professional Counselor
- Morgantown, WV
National Provider Identifier
1720167406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 258
- Practice address
- 1193B Pineview Dr
Morgantown Mental Health Associates LLC
Morgantown, WV 26505 - Phone
- (304) 599-1816
- Fax
- (304) 599-1459
- NPI assigned
- Nov 3, 2006
- Last updated
- Feb 25, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 258 | WV | Primary |
Addresses
Primary practice location
1193B Pineview Dr
Morgantown Mental Health Associates LLC
Morgantown, WV 26505
Mailing address
1193B Pineview Dr
Morgantown Mental Health Associates LLC
Morgantown, WV 26505
Phone (304) 599-1816
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0116779000 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 258 | WV | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morgantown Mental Health Associates LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Psychiatry Physician
- Morgantown, WV
- NPI 1700965480
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162512000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203897600000",
"number": "1720167406",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1193B PINEVIEW DR",
"address_2": "MORGANTOWN MENTAL HEALTH ASSOCIATES LLC",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26505",
"telephone_number": "304-599-1816",
"fax_number": "304-599-1459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1193B PINEVIEW DR",
"address_2": "MORGANTOWN MENTAL HEALTH ASSOCIATES LLC",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "26505",
"telephone_number": "304-599-1816",
"fax_number": "304-599-1459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BURIC",
"first_name": "SUSAN",
"credential": "MA LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-03",
"last_updated": "2008-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "258",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0116779000",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
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 Feb 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.