Individual provider Active NPI

Kalvan Patrick Palmer

  • Mental Health Counselor
  • Martinsburg, WV
National Provider Identifier
1942969597
Registry record updated Mar 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
888 Issued in WV
Practice address
400 Foxcroft Ave Ste 104
Martinsburg, WV 25401-5302
Phone
(304) 513-3495
NPI assigned
Dec 10, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 888 WV Primary
Addiction (Substance Use Disorder) Counselor 101YA0400X WV

Addresses

Primary practice location

400 Foxcroft Ave Ste 104
Martinsburg, WV 25401-5302

Mailing address

121 N College St
Martinsburg, WV 25401-3303
Phone (304) 707-3145

Other practice location 1

121 N College St
Martinsburg, WV 25401-3303
Phone (304) 707-3145

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250623001347 WV Practitioner - Mental Health Counselor 7517479918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Grandw IncGroup PAC ID 9739324922, 93 clinicians

Practice addresses (Care Compare)

400 Foxcroft Ave
Martinsburg, WV 25401-5302
Phone (304) 560-5123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
888WVMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
GR&W, Inc CurrentSince May 7, 2025 Accepting new patients
GR&W, Inc PastSince Apr 6, 2025 Accepting new patients

Locations

400 Foxcroft Ave
Martinsburg, WV 25401
Phone (304) 443-1408

400 Foxcroft Ave
Ste 104
Martinsburg, WV 25401
Phone (304) 513-3495

1005 White Willow Way
Morgantown, WV 26505
Phone (304) 212-7238

1100 Main St
Ste 104
Wheeling, WV 26003
Phone (304) 443-1414

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1639094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743292800000",
    "number": "1942969597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 N COLLEGE ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254013303",
            "telephone_number": "304-707-3145",
            "fax_number": "304-250-3374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 FOXCROFT AVE STE 104",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254015302",
            "telephone_number": "304-513-3495"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "121 N College St",
            "address_purpose": "LOCATION",
            "city": "Martinsburg",
            "state": "WV",
            "postal_code": "254013303",
            "country_code": "US",
            "telephone_number": "304-707-3145",
            "fax_number": "304-250-3374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "KALVAN",
        "middle_name": "PATRICK",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-12-10",
        "last_updated": "2025-03-30",
        "certification_date": "2025-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "888",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinsburg, WV

Sources for this page

Verify at the official NPI Registry.