MOUNTAINEER BEHAVIORAL HEALTH
NPI 1821453317
Specialist in Martinsburg, WV
NPI Status: Active since December 28, 2015
Contact Information
55 MERIDIAN PKWY
SUITE 103
MARTINSBURG, WV
ZIP 25404
Phone: (304) 901-2070
Fax: (304) 901-4436
- Organization
- Specialist
- Accepts Insurance
- CLIA Number: 51D2188058
- CLIA Cert. Type: Other - SUD INPATIENT
- CLIA Exp. Date: 07-12-2026
About MOUNTAINEER BEHAVIORAL HEALTH
This page provides the complete NPI Profile along with additional information for Mountaineer Behavioral Health, a provider established in Martinsburg, West Virginia operating as a Specialist. The healthcare provider is registered in the NPI registry with number 1821453317 assigned on December 2015. The practitioner's primary taxonomy code is 174400000X with license number 2322-3006 (WV). The provider is registered as an organization and their NPI record was last updated 2 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Jason Hendricks (Ceo)
- NPI
- 1821453317
- Provider Name
- MOUNTAINEER BEHAVIORAL HEALTH
- Entity Type
- Organization
- Location Address
- 55 MERIDIAN PKWY SUITE 103 MARTINSBURG, WV 25404
- Location Phone
- (304) 901-2070
- Location Fax
- (304) 901-4436
- Mailing Address
- 55 MERIDIAN PKWY SUITE 103 MARTINSBURG, WV 25404
- Mailing Phone
- (304) 901-2070
- Mailing Fax
- (304) 901-4436
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-28-2015
- Last Update Date
- 04-10-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist
- Taxonomy Code
- 174400000X
- Type
- Other Service Providers
- License No.
- 2322-3006
- License State
- WV
- Taxonomy Description
- An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
- my Blue Access WV PPO Bronze 3800 - PPO
- my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Bronze 9200 - PPO
- my Blue Access WV PPO Gold 0 - PPO
- my Blue Access WV PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Gold 1700 HSA - PPO
- my Blue Access WV PPO Premier Gold 0 - PPO
- my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Premier Silver 0 - PPO
- my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Bronze 7500 - PPO
- my Blue Access WV PPO Standard Gold 2000 - PPO
- my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision - PPO
- my Blue Access WV PPO Standard Silver 6000 - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 51D2188058
- Facility Type
- Other - SUD INPATIENT
- Certificate Effective Date
- July 13, 2024
- Certificate Expiration Date
- July 12, 2026
- Laboratory Director
- DR. BRADY SCHROER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Mountaineer Behavioral Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1821453317, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 63 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1821453317, enumerated as an "organization" on December 28, 2015.
The provider is located at 55 MERIDIAN PKWY SUITE 103 MARTINSBURG, WV 25404 and the phone number is (304) 901-2070.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Highmark Blue Cross Blue Shield West Virginia. Please consult your insurance carrier or call the provider to verify.
