Mountain Youth Resources, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

MOUNTAIN YOUTH RESOURCES, INC.

Practice address

151 Desoto Trail
Sylva, NC 28779

Phone

(828) 586-8958

Fax

(828) 586-0649

NPI assigned

May 22, 2006

Organization subpart

No

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

Authorized official

Name

Matthew Kirkland

Title

Administrative Assistant

Phone

(828) 586-8958

Specialties & licenses 1

Addresses

Other identifiers 8

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donna McClure-Allen, LCSW

  • Clinical Social Worker
  • Asheville, NC
  • NPI 1841316486
  NPD (past)
• Christine Kehle Mercier, LCSW

  • Mental Health Counselor
  • Sylva, NC
  • NPI 1518998400
  NPD (past)
• Michael David Neidig, LCSW, LCAS

  • Clinical Social Worker
  • Highlands, NC
  • NPI 1013112879
  NPD (past)

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801840905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "WEBSTER",
            "state": "NC",
            "postal_code": "287880099",
            "telephone_number": "828-586-8958",
            "fax_number": "828-586-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 DESOTO TRAIL",
            "city": "SYLVA",
            "state": "NC",
            "postal_code": "28779",
            "telephone_number": "828-586-8958",
            "fax_number": "828-586-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN YOUTH RESOURCES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRKLAND",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "828-586-8958"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300610B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301101",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301101Q",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300610G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300610H",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC PROVIDER NUMBER",
            "identifier": "017P2",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005341",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8300610",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mountain Surgical Associates
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• Mountaineer Oxygen Services
• MTN Trace Nursing Center
• Murphycounselingservices
• Donna Douglass Murray, OT

• Mental Health Counselor in Sylva, NC
• Providers in Sylva, NC by specialty
• Mental Health Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.