Mary Kay Debeni

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

TL7410703R Issued in WV

Practice address

RR 1 Box 256 a
Triadelphia, WV 26059-9725

Phone

(304) 547-9197

Fax

(304) 547-9198

NPI assigned

May 1, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962622985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 256 A",
            "city": "TRIADELPHIA",
            "state": "WV",
            "postal_code": "260599725",
            "telephone_number": "304-547-9197",
            "fax_number": "304-547-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RR 1 BOX 256 A",
            "city": "TRIADELPHIA",
            "state": "WV",
            "postal_code": "260599725",
            "telephone_number": "304-547-9197",
            "fax_number": "304-547-9198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEBENI",
        "first_name": "MARY",
        "middle_name": "KAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WV",
            "license": "TL7410703R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Elaine Connor, PA-C, CLE
• Holly Kelly Coville, M.A., ED.S.
• Taylor Christine Croft, DPT
• Austin Scott Cusick, DO
• Mary Rachel Davis
• Karena Faye Delvecchio
• Regina Demasi, FNP-BC
• Taylor Dodson, BSW
• Austin Dowdel
• Nathan Ernst

• Addiction (Substance Use Disorder) Counselor in Triadelphia, WV
• Providers in Triadelphia, WV by specialty
• Addiction (Substance Use Disorder) Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.