NPIMap

Organization Active NPI

Berkeley County Council

Doing business as Berkeley Day Report Center

  • Community/Behavioral Health Agency
  • Martinsburg, WV
National Provider Identifier
1972042992
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
BERKELEY COUNTY COUNCIL
Doing business as
Berkeley Day Report Center
Practice address
520 S Raleigh St
Martinsburg, WV 25401-2642
Phone
(304) 262-9831
NPI assigned
Feb 23, 2017
Last updated
Jul 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Authorized official

Name
Tim Czaja
Title
Director
Phone
(304) 262-9831

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

520 S Raleigh St
Martinsburg, WV 25401-2642

Mailing address

400 West Stephen Street
Martinsburg, WV 25401
Phone (304) 262-9831

Other names 1

  • Berkeley Day Report Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Berkeley County Council2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

400 W Stephen St
Martinsburg, WV 25401

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1487808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1972042992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 WEST STEPHEN STREET",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "25401",
            "telephone_number": "304-262-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S RALEIGH ST",
            "city": "MARTINSBURG",
            "state": "WV",
            "postal_code": "254012642",
            "telephone_number": "304-262-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BERKELEY COUNTY COUNCIL",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-23",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "CZAJA",
        "authorized_official_first_name": "TIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "304-262-9831"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Berkeley Day Report Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Berkeley Day Report Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Martinsburg, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.