MEDITELECARE OF WEST VIRGINIA PLLC
NPI 1235631888
Psychologist - Clinical in Charleston, WV
About Meditelecare Of West Virginia Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDITELECARE OF WEST VIRGINIA PLLC (NPI 1235631888) is a healthcare organization registered as a clinical in Charleston, West Virginia and active in the NPI registry since February 2018. The organization lists Andrea Godfrey, Credentialing & Enrollment Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 6
Group Practice 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)
Meditelecare Of West Virginia Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
26Medicare enrollment records show 26 clinicians reassign Medicare billing to Meditelecare Of West Virginia PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 5
Nearest to this location (20)
See all 26Source: 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 Meditelecare Of West Virginia PLLC's NPI number?
The NPI number for Meditelecare Of West Virginia PLLC is 1235631888. It was assigned to this organization in the NPPES registry on February 28, 2018.
Where is Meditelecare Of West Virginia PLLC located?
Meditelecare Of West Virginia PLLC is located at 5098 Washington St W Ste 407, Charleston, WV 25313. The listed phone number is (860) 788-6404.
What is Meditelecare Of West Virginia PLLC's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Meditelecare Of West Virginia PLLC enrolled in Medicare?
Yes. Meditelecare Of West Virginia PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Meditelecare Of West Virginia PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 5 Medicare specialties reassign their Medicare billing to Meditelecare Of West Virginia PLLC. 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 (10), Clinical Psychologist (9) and Clinical Social Worker (5). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Meditelecare Of West Virginia PLLC accept?
Health plans from Highmark Blue Cross Blue Shield West Virginia list Meditelecare Of West Virginia PLLC 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 Meditelecare Of West Virginia PLLC was last updated on May 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.
# Meditelecare Of West Virginia Pllc · NPI 1235631888
Clinical organization in Charleston, West Virginia. Organization record, active in the CMS NPPES registry since February 28, 2018.
## Identity
- **NPI:** 1235631888 (Entity type: Organization)
- **Enumerated:** February 28, 2018
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **Organization subpart:** No
- **Authorized official:** Andrea Godfrey, CREDENTIALING & ENROLLMENT MANAGER
## Practice location
- **Address:** 5098 WASHINGTON ST W STE 407, Charleston, WV 25313-1561
- **Phone:** (860) 788-6404
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 26 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (10), Clinical Psychologist (9), Clinical Social Worker (5); 3 practice at this address and 4 within 10 miles; [full list](https://npiprofile.com/npi/1235631888/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 5, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1235631888) · Data from the CMS NPPES public registry.