| United Summit Center Inc | |
|
6 Hospital Plz Clarksburg WV 26301-9316 | |
| (304) 623-5661 | |
| (304) 623-2989 |
| Full Name | United Summit Center Inc |
|---|---|
| Speciality | Counselor |
| Location | 6 Hospital Plz, Clarksburg, West Virginia |
| Authorized Official Name and Position | Lisa Price (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 3046235661 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| United Summit Center Inc 6 Hospital Plz Clarksburg WV 26301-9316 Ph: (304) 598-6280 | United Summit Center Inc 6 Hospital Plz Clarksburg WV 26301-9316 Ph: (304) 623-5661 |
| NPI Number | 1750332524 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 06/23/2021 |
| Certification Date | 06/23/2021 |
| Medicare PECOS PAC ID | 6002803988 |
|---|---|
| Medicare Enrollment ID | O20040430000886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750332524 | NPI | - | NPPES |
| 0005239000 | Medicaid | WV | |
| 0005239002 | Medicaid | WV | |
| 0017100654 | Other | WV | BLUE CROSS BLUE SHIELD |
| 001710655 | Other | WV | BLUE CROSS BLUE SHIELD |
| 0018101987 | Other | WV | BLUE CROSS BLUE SHIELD |
| 0005239001 | Medicaid | WV |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 20 (West Virginia) | Primary |
| Provider Name | Mary Ann Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679685150 PECOS PAC ID: 6709864309 Enrollment ID: I20040709001360 |
| Provider Name | Franklin B Curry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922110816 PECOS PAC ID: 4486793718 Enrollment ID: I20091130000369 |
| Provider Name | James Abel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376729244 PECOS PAC ID: 7214120369 Enrollment ID: I20101021000054 |
| Provider Name | Michelle L Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952659575 PECOS PAC ID: 6103070560 Enrollment ID: I20130212000218 |
| Provider Name | Ja'me A Brandish |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285070714 PECOS PAC ID: 6709026487 Enrollment ID: I20130628000646 |
| Provider Name | Paris Cleopatra Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891108981 PECOS PAC ID: 6103124334 Enrollment ID: I20160420002447 |
| Provider Name | Stacey J Ball |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982148813 PECOS PAC ID: 4385813872 Enrollment ID: I20170117001206 |
| Provider Name | Pamela J Fisher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447706882 PECOS PAC ID: 0648556480 Enrollment ID: I20170411001050 |
| Provider Name | Mary Sue Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780233247 PECOS PAC ID: 5698006872 Enrollment ID: I20191021000551 |
| Provider Name | Auvid Momen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164712253 PECOS PAC ID: 8820211006 Enrollment ID: I20200114000009 |
| Provider Name | Lauren Mayle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205330909 PECOS PAC ID: 2769726041 Enrollment ID: I20220811000109 |
| Provider Name | Amber Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467164475 PECOS PAC ID: 1557722832 Enrollment ID: I20230802003793 |
| Provider Name | Jeremy Kevin Wentz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649537192 PECOS PAC ID: 4587012935 Enrollment ID: I20231127001444 |
| Provider Name | Aaron C Medina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154695955 PECOS PAC ID: 9436508439 Enrollment ID: I20231215003212 |
| Provider Name | Sandra Kay Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891807343 PECOS PAC ID: 7618329277 Enrollment ID: I20240118003698 |
| Provider Name | Cheryl B Cornwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407958689 PECOS PAC ID: 2769825553 Enrollment ID: I20240208002460 |
| Provider Name | Dustin Fisher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669254462 PECOS PAC ID: 3072956739 Enrollment ID: I20240209000414 |
United Summit Center Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6 Hospital Plz, Clarksburg, WV 26301 Phone: 304-623-5661 Fax: 304-623-2180 | |
Clarksburg Treatment Center, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 706 Oakmound Rd, Clarksburg, WV 26301 Phone: 304-622-7511 Fax: 304-622-6856 | |
Genesis Family Development Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 192 Safe Haven Dr, Clarksburg, WV 26301 Phone: 304-622-1907 Fax: 304-623-9346 | |
The Arc Of Harrison County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 N 1st St, Clarksburg, WV 26301 Phone: 304-624-3641 Fax: 304-624-3802 | |
Family & Marital Counseling Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 321 W Main St, Suite 400, Clarksburg, WV 26301 Phone: 304-622-5323 Fax: 304-622-5324 | |
Deluca Family Wellness Center, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: Rt. 2 Box 406 Suite 121, Clarksburg, WV 26301 Phone: 304-626-3541 Fax: 304-626-3174 | |
Crimson Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 443 W Pike St, Clarksburg, WV 26301 Phone: 304-622-4786 Fax: 304-622-7210 |