MINERAL COUNTY COMMUNITY CORRECTIONS NPI 1134882988

NPI Information

  • NPI: 1134882988
  • Provider Name: MINERAL COUNTY COMMUNITY CORRECTIONS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • CLIA Number: 51D2169085
  • Address: 130 N MAIN ST
    KEYSER, WV
    ZIP 26726
  • Phone: (304) 788-0593

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NPI Details

MINERAL COUNTY COMMUNITY CORRECTIONS is a mental health counselor in Keyser, WV. MINERAL COUNTY COMMUNITY CORRECTIONS NPI is 1134882988. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

130 N MAIN ST
KEYSER, WV
ZIP 26726-242
Phone: (304) 788-0593

The provider's authorized official is Tara Hockaday .
The authorized official title is Director and has the following contact phone number (304) 788-0593.

The CLIA number assigned to this NPI record is 51D2169085 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/19/2021 and was last updated on 5/23/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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