COUNCIL OF THE SOUTHERN MOUNTAINS, INC.
NPI 1023351392
Community/Behavioral Health in Welch, WV

NPI Status: Active since April 04, 2013

Contact Information

148 MCDOWELL ST
WELCH, WV
ZIP 24801
Phone: (304) 436-6800
Fax: (304) 436-6803

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  • Organization
  • Community/Behavioral Health

About COUNCIL OF THE SOUTHERN MOUNTAINS, INC.

This page provides the complete NPI Profile along with additional information for Council Of The Southern Mountains, Inc., a provider established in Welch, West Virginia operating as a Community/behavioral Health. The healthcare provider is registered in the NPI registry with number 1023351392 assigned on April 2013. The practitioner's primary taxonomy code is 251S00000X with license number 384 (WV). The provider is registered as an organization and their NPI record was last updated 12 years ago. The authorized official of this NPI record is Randal Johnson M.a. (Executive Director)

NPI
1023351392
Provider Name
COUNCIL OF THE SOUTHERN MOUNTAINS, INC.
Entity Type
Organization
Location Address
148 MCDOWELL ST WELCH, WV 24801
Location Phone
(304) 436-6800
Location Fax
(304) 436-6803
Mailing Address
148 MCDOWELL ST WELCH, WV 24801
Mailing Phone
(304) 436-6800
Mailing Fax
(304) 436-6803
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2013
Last Update Date
04-30-2013
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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

Community/Behavioral Health

Taxonomy Code
251S00000X
Type
Agencies
License No.
384
License State
WV
Taxonomy Description
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RANDAL JOHNSON M.A.

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(304) 436-6800

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1881716611MEDICAID (05)WV 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1023351392
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2043652318
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 4 + 3 + 6 + 5 + 2 + 3 + 1 + 8 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1023351392 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1487926648COUNCIL OF THE SOUTHERN MOUNTAINS, INC.
Organization
Community/Behavioral Health148 MCDOWELL ST
WELCH, WV 24801
(304) 436-6800
1558896993COUNCIL OF THE SOUTHERN MOUNTAINS
Organization
Community/Behavioral Health148 MCDOWELL ST
WELCH, WV 24801
(304) 436-6800
1306438171MS. DESTINEE LARHEA HORNE
Individual
Case Manager/Care Coordinator148 MCDOWELL ST
WELCH, WV 24801
(304) 436-6800
1922690643MR. JAMES MITCHELL HUFFMAN BA
Individual
Case Manager/Care Coordinator148 MCDOWELL ST
WELCH, WV 24801
(304) 436-6800
1033701859MS. JENNIFER ILENE THOMPSON BSN, RN
Individual
Registered Nurse (General Practice)148 MCDOWELL ST
WELCH, WV 24801
(304) 436-6800
1679165302MS. LESLIE S. BAILEY
Individual
Case Manager/Care Coordinator148 MCDOWELL ST
WELCH, WV 24801
(304) 436-6800
1467044115MS. AMANDA THOMAS JESSEE RN
Individual
Registered Nurse (General Practice)148 MCDOWELL ST
WELCH, WV 24801
(304) 436-6800
1255923074MS. MIRANDA ANN MULLINS LGSW, MSW
Individual
Social Worker148 MCDOWELL ST
WELCH, WV 24801
(304) 436-6800
1285344457 JOHNNIE L JENNINGS
Individual
Technician (Attendant Care Provider)148 MCDOWELL ST
WELCH, WV 24801
(304) 436-6800
1750091922 AMANDA S SHRADER
Individual
Technician (Attendant Care Provider)148 MCDOWELL ST
WELCH, WV 24801
(304) 436-6800

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1023351392, enumerated in the NPI registry as an "organization" on April 04, 2013

The provider is located at 148 Mcdowell St Welch, Wv 24801 and the phone number is (304) 436-6800

This medical organization specializes in Community/Behavioral Health with taxonomy code 251S00000X

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on April 04, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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