MOUNTAINEER BEHAVIORAL HEALTH – NPI #1780135863
Substance Abuse Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

MOUNTAINEER BEHAVIORAL HEALTH is a substance abuse rehabilitation facility located in KEARNEYSVILLE, WV. NPPES has assigned the NPI number 1780135863 to MOUNTAINEER BEHAVIORAL HEALTH on October 24, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 324500000X from the Health Care Provider Taxonomy code set, which is classified as Substance Abuse Rehabilitation Facility.

The NPI profile was last updated on Jan 21, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNTAINEER BEHAVIORAL HEALTH below.

NPI Profile for
MOUNTAINEER BEHAVIORAL HEALTH

NPI Number
1780135863
Enumeration Date

(more than 9 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNTAINEER BEHAVIORAL HEALTH
Primary location
3094 CHARLES TOWN ROAD
KEARNEYSVILLE, WV 25430
Phone: (304) 901-2070 Fax: (304) 885-1054
Mailing address
3094 CHARLES TOWN RD
KEARNEYSVILLE, WV 25430-2669
Phone: (304) 901-2070 Fax: (304) 885-1054
Organization Subpart
No
Authorized Official
JASON HENDRICKS
CHIEF EXECUTIVE OFFICER
Phone: (148) 940-0407
Updated
Certification Date
Jan 21, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for MOUNTAINEER BEHAVIORAL HEALTH

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherDEPARTMENT OF HEALTH AND HUMAN RESOURCES BEHAVIORAL HEALTH LICENSEWV443
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.