MPAC MENTAL HEALTH WEST VIRGINIA PLLC
NPI 1265307581
Social Worker - Clinical in Sissonville, WV

Q: What is Mpac Mental Health West Virginia PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Active since October 07, 2025

302 CEDAR RIDGE RD, SISSONVILLE, WV 25320(304) 984-0046 Get Directions Write a Review

NPPES record last updated: March 11, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 11, 2026, Oct 7, 2025 (2 updates tracked since 2025).

On this page

About Mpac Mental Health West Virginia Pllc NPPES

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

MPAC MENTAL HEALTH WEST VIRGINIA PLLC (NPI 1265307581) is a healthcare organization registered as a clinical in Sissonville, West Virginia and active in the NPI registry since October 2025. The organization lists Courtney Cooke, Owner, as its authorized official.

NPPES Registry Identity

NPI1265307581

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameMPAC MENTAL HEALTH WEST VIRGINIA PLLC

Location Address302 CEDAR RIDGE RDSissonville, WV 25320-9502

Mailing Address2045 W Grand Ave Ste BChicago, IL 60612-1577

Phone(304) 984-0046

Organization SubpartNo

Authorized OfficialCourtney CookeOwner · (248) 240-0162

Enumeration DateOctober 7, 2025

Last NPPES UpdateMarch 11, 20262 updates tracked since enumeration

NPPES CertifiedMarch 11, 2026

✔ NPI 1265307581 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

302 CEDAR RIDGE RD, Sissonville, WV 25320

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mpac Mental Health West Virginia Pllc 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 Mpac Mental Health West Virginia PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dustin Baldwin, MSW, LCSW

Clinical Social Worker

NPI 1144377557

1 HOSPITAL PLZ
Grafton, WV 26354

(304) 265-0400

✔ PECOS✔ Accepts Medicare105 mi

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 Mpac Mental Health West Virginia PLLC's NPI number?

The NPI number for Mpac Mental Health West Virginia PLLC is 1265307581. It was assigned to this organization in the NPPES registry on October 7, 2025.

Where is Mpac Mental Health West Virginia PLLC located?

Mpac Mental Health West Virginia PLLC is located at 302 Cedar Ridge Rd, Sissonville, WV 25320. The listed phone number is (304) 984-0046.

What is Mpac Mental Health West Virginia PLLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mpac Mental Health West Virginia PLLC enrolled in Medicare?

Yes. Mpac Mental Health West Virginia PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mpac Mental Health West Virginia PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Social Worker) reassigns their Medicare billing to Mpac Mental Health 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mpac Mental Health West Virginia PLLC was last updated on March 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.