Mountaineer Behavioral Health
Organization Active NPI Substance Abuse Rehabilitation Facility · Kearneysville, WV
NPI 1780135863 · NPPES record last updated Jan 21, 2026
Key facts
- NPI
- 1780135863
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- MOUNTAINEER BEHAVIORAL HEALTH
- Practice address
- 3094 Charles Town Road
Kearneysville, WV 25430 - Phone
- (304) 901-2070
- Fax
- (304) 885-1054
- NPI assigned
- Oct 24, 2016
- Organization subpart
- No
Authorized official
- Name
- Jason Hendricks
- Title
- Chief Executive Officer
- Phone
- (148) 940-0407
Practitioners 27
-
Kristia Bard, RN
-
Kristen Renee Brightful, LICSW, LCSW-C
-
Jayme Helmick Carriveau, MA, ED.S., LMHP
-
Jessica Amanda Lewis, PMHNP
-
Deanna Robledo Linden, MSSW
-
Caitlyn Mackenzie Mitchell, MA, LGPC
-
Christopher Lynn Monroe, QMHP, MSW
-
Jan Augusta Nieves, PMHNP-BC (APRN)
-
Taylor B Funk, MA
-
Rachel Burke, PSYD
-
Janessa Grimmer, MA
-
Ashley Hall, NP
-
Jonathan M Hartiens, PH.D.
-
Angela E Mellott, MSW
-
Eryn Mills, MS
-
Laura Phillips, MSW, LGSW
-
Emily Soffel, MA
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2188058 | Mountaineer Behavioral Health | Certificate of waiver | Jul 12, 2028 |
National Provider Directory
Locations
3094 Charles Town Rd
Kearneysville, WV 25430
Phone (304) 901-2070
55 Meridian Pkwy
Ste 103
Martinsburg, WV 25404
Phone (304) 260-8808
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | |||
| Community/Behavioral Health Agency | 251S00000X | 443 | WV | |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
3094 Charles Town Road
Kearneysville, WV 25430
Mailing address
3094 Charles Town Rd
Kearneysville, WV 25430-2669
Phone (304) 901-2070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 443 | Other | WV | DEPARTMENT OF HEALTH AND HUMAN RESOURCES BEHAVIORAL HEALTH LICENSE |
Other names
- Mountaineer Recovery Center
Other providers in Kearneysville, WV
- Anne McClure Crosbie
- Middleway Volunteer Fire Company Inc
- Caitlyn Mackenzie Mitchell
- Amanda Molina Gollnitz
- Christopher Lynn Monroe
- Tuyet Van Nguyen
- Jan Augusta Nieves
- Oasis Health and Wellness PLLC
- Justin A Offutt
- Harrison Ogbewe
All providers in Kearneysville, WV · Substance Abuse Rehabilitation Facility in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.