COUNCIL OF THE SOUTHERN MOUNTAINS
NPI 1881716611
Day Training, Developmentally Disabled Services in Keystone, WV

Active since April 04, 2007
69 MAIN ST., OLD KEYSTONE BANK BUILDING, KEYSTONE, WV 24868(304) 862-3144(304) 862-3071 Get Directions Write a Review

NPPES record last updated: August 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Council Of The Southern Mountains NPPES

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

COUNCIL OF THE SOUTHERN MOUNTAINS (NPI 1881716611) is a healthcare organization registered as a day training, developmentally disabled services in Keystone, West Virginia and active in the NPI registry since April 2007. The organization lists Randal Johnson, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1881716611
Entity TypeOrganization
Primary Taxonomy251C00000X
Legal Business NameCOUNCIL OF THE SOUTHERN MOUNTAINS
Location Address69 MAIN ST., OLD KEYSTONE BANK BUILDINGKeystone, WV 24868-0085
Mailing AddressPo Box 85Northfork, WV 24868-0085 · (304) 862-3144 · Fax (304) 862-3071
Fax(304) 862-3071
Organization SubpartNo
Authorized OfficialRandal JohnsonExecutive Director · (304) 862-3144
Enumeration DateApril 4, 2007
Last NPPES UpdateAugust 13, 2008
NPI 1881716611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code251C00000X
License Licensed in WV · 384
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
69 MAIN ST., Keystone, WV 24868

Other Identifiers 1

Medicaid3810007636WV

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Case Management
69 MAIN ST.
NORTHFORK, WV 24868

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 Council Of The Southern Mountains's NPI number?

The NPI number for Council Of The Southern Mountains is 1881716611. It was assigned to this organization in the NPPES registry on April 4, 2007.

Where is Council Of The Southern Mountains located?

Council Of The Southern Mountains is located at 69 Main St. Old Keystone Bank Building, Keystone, WV 24868. The listed phone number is (304) 862-3144.

What is Council Of The Southern Mountains's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Council Of The Southern Mountains was last updated on August 13, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.