Active NPI
Mountain Laurel Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Bridgeport, WV
National Provider Identifier
1861340432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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-BC
- 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Bridgeport, WV
- NPI 1942980339
Psychiatric/Mental Health
National Provider Directory
National Provider DirectoryLocations
120 Professional Pl
Ste 102
Bridgeport, WV 26330
Phone (304) 878-8246
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
NPPES NPI RegistryPrimary 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
- Jo-Clair Morgan, OTR/L
- Megan Morgan
- Morgantown Orthotic & Prosthetic Center, Inc
- Jordan Renee Morrison, OPTICIAN
- Saad Mossallati, M.D.
- Mountain Momma & Family Services, LLC
- Mountain River Physical Therapy, LLC
- Mountain State Medical Specialties, PLLC
- Mountain State Medical Specialties,Inc.
- Mountainear Audiology & Hearing Aid Center, LLC
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.