Organization Active NPI

Pyramid Counseling Limited Liability Company

  • Mental Health Counselor
  • Beckley, WV
National Provider Identifier
1962546622
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
1622 Issued in WV
Legal business name
PYRAMID COUNSELING LIMITED LIABILITY COMPANY
Practice address
130 George St # 6
Suite E - F
Beckley, WV 25801-2648
Phone
(304) 256-0200
Fax
(304) 256-0380
NPI assigned
Feb 16, 2007
Last updated
Jun 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Authorized official

Name
Dwayne Frank Masters, MANPI 1316100522
Title
Counselor
Phone
(304) 256-0200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X 1622 WV Primary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X

Addresses

Primary practice location

130 George St # 6
Suite E - F
Beckley, WV 25801-2648

Mailing address

130 George St # 6
Suite E - F
Beckley, WV 25801-2648
Phone (304) 256-0200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20051114000112 WV Part B Supplier - Clinic/Group Practice 5597784181 Receives reassigned benefits from 1 practitioner
Practice locations: Beckley, WV; Lewisburg, WV

National Provider Directory

National Provider Directory

Locations

130 George St
Ste E
Beckley, WV 25801
Phone (304) 256-0200

130 George St
Ste Ef
Beckley, WV 25801
Phone (304) 256-0200

3738 Davis Stuart Rd
Lewisburg, WV 24901
Phone (304) 645-3207

527 2nd Ave
South Charleston, WV 25303
Phone (304) 400-4616

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717459200000",
    "number": "1962546622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GEORGE ST # 6",
            "address_2": "SUITE E - F",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012648",
            "telephone_number": "304-256-0200",
            "fax_number": "304-256-0380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GEORGE ST # 6",
            "address_2": "SUITE E - F",
            "city": "BECKLEY",
            "state": "WV",
            "postal_code": "258012648",
            "telephone_number": "304-256-0200",
            "fax_number": "304-256-0380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID COUNSELING LIMITED LIABILITY COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-16",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A",
        "authorized_official_last_name": "MASTERS",
        "authorized_official_first_name": "DWAYNE",
        "authorized_official_middle_name": "FRANK",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "304-256-0200",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WV",
            "license": "1622",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beckley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.