MOUNTAIN STATE RECOVERY CENTER
NPI 1194294587
Community/Behavioral Health in Charleston, WV
About Mountain State Recovery Center NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MOUNTAIN STATE RECOVERY CENTER (NPI 1194294587) is a healthcare organization registered as a community/behavioral health in Charleston, West Virginia and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through April 27, 2027, maintains a secondary practice location in Huntington, and lists Joseph Shaffer, Coo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted 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 State Recovery Center is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Mountain State Recovery Center, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (7)
Charleston, WV 25304
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 51D2222251
Msrc, LLC · Huntington, WVFrequently 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 Msrc, LLC's NPI number?
The NPI number for Msrc, LLC is 1194294587. It was assigned to this organization in the NPPES registry on November 15, 2018. The provider is doing business as Mountain State Recovery Center.
Where is Msrc, LLC located?
Msrc, LLC is located at 102 Patrick Street Plz, Charleston, WV 25387. The listed phone number is (304) 941-9779.
What is Msrc, LLC's specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Msrc, LLC enrolled in Medicare?
Yes. Msrc, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Msrc, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 5 Medicare specialties reassign their Medicare billing to Msrc, 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. The largest specialties are Nurse Practitioner (3), Addiction Medicine (1) and Clinical Social Worker (1). Of these, 2 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Msrc, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 51D2222251) is associated with this NPI, valid through April 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Msrc, LLC accept?
Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Msrc, 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 Msrc, LLC was last updated on March 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.
# Mountain State Recovery Center · NPI 1194294587
Community/Behavioral Health organization in Charleston, West Virginia. Organization record, active in the CMS NPPES registry since November 15, 2018.
## Identity
- **NPI:** 1194294587 (Entity type: Organization)
- **Enumerated:** November 15, 2018
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** Msrc, Llc
- **Organization subpart:** No
- **Authorized official:** Joseph Shaffer, COO
## Practice location
- **Address:** 102 PATRICK STREET PLZ, Charleston, WV 25387-2444
- **Phone:** (304) 941-9779
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Addiction Medicine (1), Clinical Social Worker (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 15, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1194294587) · Data from the CMS NPPES public registry.