Organization Active NPI

Mountain Laurel Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bridgeport, WV
National Provider Identifier
1861340432
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
MOUNTAIN LAUREL PSYCHIATRY LLC
Practice address
2000 Jerry Dove Dr Ste 102
Bridgeport, WV 26330-9166
Phone
(304) 878-8246
Fax
(304) 449-5899
NPI assigned
Mar 19, 2026
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mary Harper, PMHNP-BCNPI 1942980339
Title
Aprn
Phone
(601) 941-8243

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 1

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

National Provider Directory

National Provider Directory

Locations

120 Professional Pl
Ste 102
Bridgeport, WV 26330
Phone (304) 878-8246

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

NPPES NPI Registry

Primary practice location

2000 Jerry Dove Dr Ste 102
Bridgeport, WV 26330-9166

Mailing address

205 S Virginia Ave Unit 27
Bridgeport, WV 26330-5004
Phone (304) 878-8246

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2026.

{
    "created_epoch": "1773878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1861340432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 S VIRGINIA AVE UNIT 27",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263305004",
            "telephone_number": "304-878-8246",
            "fax_number": "304-449-5899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 JERRY DOVE DR STE 102",
            "city": "BRIDGEPORT",
            "state": "WV",
            "postal_code": "263309166",
            "telephone_number": "304-878-8246",
            "fax_number": "304-449-5899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN LAUREL PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-19",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "HARPER",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "601-941-8243",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2026; 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.