Individual provider Active NPI

Kylie Angaline Brown

  • Professional Counselor
  • Romney, WV
National Provider Identifier
1992422125
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
3007 Issued in WV
Practice address
22347 Northwestern Pike
Romney, WV 26757-6343
Phone
(304) 822-3838
Fax
(304) 822-7140
NPI assigned
Oct 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 3007 WV Primary

Addresses

Primary practice location

22347 Northwestern Pike
Romney, WV 26757-6343

Mailing address

PO Box 1737
Romney, WV 26757-4737
Phone (304) 822-3838

Other names 1

  • Kylie Angaline Pyles Former name

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
I20241113001821 WV Practitioner - Mental Health Counselor 6002340064 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
E. a. Hawse Health Center, Inc. CurrentSince Aug 22, 2024 Accepting new patients
E.a. Hawse Health Center Inc CurrentSince Aug 22, 2024 Accepting new patients

Locations

17978 State Road 55
Baker, WV 26801
Phone (304) 897-8220

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": "1666828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1992422125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1737",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267574737",
            "telephone_number": "304-822-3838",
            "fax_number": "304-822-7140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22347 NORTHWESTERN PIKE",
            "city": "ROMNEY",
            "state": "WV",
            "postal_code": "267576343",
            "telephone_number": "304-822-3838",
            "fax_number": "304-822-7140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KYLIE",
        "middle_name": "ANGALINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-27",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "3007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYLIE",
            "last_name": "PYLES",
            "middle_name": "ANGALINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Romney, WV

Sources for this page

Verify at the official NPI Registry.