Active NPI
Country Roads Healthcare, LLC
- Community/Behavioral Health Agency
- Sophia, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- COUNTRY ROADS HEALTHCARE, LLC
- Practice address
- 833 Robert C Byrd Dr
Sophia, WV 25921 - Phone
- (681) 688-7444
- NPI assigned
- Apr 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Traci Lynn Morris, APRN,FNP-C, PMHNP-BC
- Title
- Owner
- Phone
- (304) 578-6355
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Mental Health Counselor | 101YM0800X | |||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary | ||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Medical Specialty Clinic/Center | 261QM2500X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
833 Robert C Byrd Dr
Sophia, WV 25921
Mailing address
PO Box 1288
Sophia, WV 25921-1288
Phone (681) 688-7444
Other practice location 1
1016 Wal St
Summersville, WV 26651-2101
Phone (681) 688-7444
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 51D2313248 | Country Roads Healthcare, LLC | Certificate of waiver | Oct 27, 2026 |
| 51D2337193 | Country Roads Healthcare, LLC | Certificate of waiver | Jan 19, 2028 |
National Provider Directory
National Provider DirectoryLocations
1016 Wal St
Summersville, WV 26651
Phone (681) 688-7444
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Beckley, WV
- NPI 1043564636
-
- Professional Counselor
- Beckley, WV
- NPI 1770310062
-
- Family Nurse Practitioner
- Huntington, WV
- NPI 1053679282
-
- Psychiatric/Mental Health Nurse Practitioner
- Beckley, WV
- NPI 1740244185
-
- Addiction (Substance Use Disorder) Counselor
- Beckley, WV
- NPI 1194121574
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711929600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769385600000",
"number": "1821849274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1288",
"city": "SOPHIA",
"state": "WV",
"postal_code": "259211288",
"telephone_number": "681-688-7444"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "833 ROBERT C BYRD DR",
"city": "SOPHIA",
"state": "WV",
"postal_code": "25921",
"telephone_number": "681-688-7444"
}
],
"practiceLocations": [
{
"address_1": "1016 Wal St",
"address_purpose": "LOCATION",
"city": "Summersville",
"state": "WV",
"postal_code": "266512101",
"country_code": "US",
"telephone_number": "681-688-7444",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "COUNTRY ROADS HEALTHCARE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-01",
"last_updated": "2026-01-26",
"certification_date": "2026-01-26",
"status": "A",
"authorized_official_last_name": "MORRIS",
"authorized_official_first_name": "TRACI",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "304-578-6355",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "APRN,FNP-C, PMHNP-BC"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sophia, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.