Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MOUNTAIN LIGHT MENTAL HEALTH LLC
NPI 1134068893
Nurse Practitioner - Psychiatric/Mental Health in Summersville, WV

Q: What is Mountain Light Mental Health LLC's NPI number?

The NPI number for Mountain Light Mental Health LLC is 1134068893. It was assigned to this organization in the NPPES registry on March 27, 2026.

Q: What is Mountain Light Mental Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since March 27, 2026

32 PIONEER LN, SUMMERSVILLE, WV 26651(304) 916-0337(304) 718-5133 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 7, 2026, Mar 27, 2026 (2 updates tracked since 2026).

On this page

About Mountain Light Mental Health Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MOUNTAIN LIGHT MENTAL HEALTH LLC (NPI 1134068893) is a healthcare organization registered as a psychiatric/mental health in Summersville, West Virginia and active in the NPI registry since March 2026. The organization lists Jill M Johnson, Owner, as its authorized official.

NPPES Registry Identity

NPI1134068893

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameMOUNTAIN LIGHT MENTAL HEALTH LLC

Location Address32 PIONEER LNSummersville, WV 26651-1889

Mailing Address32 Pioneer LnSummersville, WV 26651-1889 · (304) 906-2888 · Fax (304) 718-5133

Phone(304) 916-0337

Fax(304) 718-5133

Organization SubpartNo

Authorized OfficialJill M JohnsonOwner · (304) 906-2888

Enumeration DateMarch 27, 2026

Last NPPES UpdateOctober 7, 20262 updates tracked since enumeration

NPPES CertifiedOctober 7, 2026

✔ NPI 1134068893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

32 PIONEER LN, Summersville, WV 26651

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mountain Light Mental Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mountain Light Mental Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Jill Johnson, PMHNP

Nurse Practitioner

NPI 1821507492

32 PIONEER LN
Summersville, WV 26651

(681) 224-0660

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mountain Light Mental Health LLC's NPI number?

The NPI number for Mountain Light Mental Health LLC is 1134068893. It was assigned to this organization in the NPPES registry on March 27, 2026.

Where is Mountain Light Mental Health LLC located?

Mountain Light Mental Health LLC is located at 32 Pioneer Ln, Summersville, WV 26651. The listed phone number is (304) 916-0337.

What is Mountain Light Mental Health LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mountain Light Mental Health LLC enrolled in Medicare?

Yes. Mountain Light Mental Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mountain Light Mental Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mountain Light Mental Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Mountain Light Mental Health LLC accept?

Health plans from Highmark Blue Cross Blue Shield West Virginia list Mountain Light Mental Health LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mountain Light Mental Health LLC was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.