What is Mountain Rooted Behavioral Health LLC's NPI number?

Mountain Rooted Behavioral Health LLC's National Provider Identifier (NPI) is 1073364469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What type of organization is Mountain Rooted Behavioral Health LLC?

Mountain Rooted Behavioral Health LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).

Where is Mountain Rooted Behavioral Health LLC located?

Mountain Rooted Behavioral Health LLC's practice location on file with NPPES is 106 Lockheed Dr, Beaver, WV 25813-8962.

What is Mountain Rooted Behavioral Health LLC's phone number?

The practice phone number listed in the NPPES registry for Mountain Rooted Behavioral Health LLC is (304) 253-5155.

Does Mountain Rooted Behavioral Health LLC accept Medicare?

Mountain Rooted Behavioral Health LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.

Who is the authorized official for Mountain Rooted Behavioral Health LLC?

The authorized official listed on Mountain Rooted Behavioral Health LLC's NPPES record is Victor Rendon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.

Is Mountain Rooted Behavioral Health LLC's NPI active?

Yes — Mountain Rooted Behavioral Health LLC's NPI (1073364469) is active in the NPPES registry as of the last update on 2024-04-01.

OrganizationActiveAccepts Medicare

Mountain Rooted Behavioral Health LLC

NPI 1073364469 · Psychiatry Physician · Beaver, WV

Mountain Rooted Behavioral Health LLC is a Psychiatry Physician organization in Beaver, WV (NPI 1073364469).

Provider details

NPI number: 1073364469
Entity type: Organization
Primary specialty: Psychiatry PhysicianAllopathic & Osteopathic Physicians
Organization subpart: No
Authorized official: Victor Rendon, Owner(304) 731-0991

Practice location

106 Lockheed Dr

Beaver, WV 25813-8962

Phone: (304) 253-5155

Fax: (681) 207-7011

Street-level locationGet directions

More WV providers

Mailing address

Po Box 91

Hockessin, DE 19707-0091

Specialties & taxonomies

Psychiatry PhysicianPrimary2084P0800X
Allopathic & Osteopathic Physicians

Other names (DBA / former)

Doing business as: Mountain Rooted Behavioral Health

Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)

Profile Score

Established profile(57/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
2 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Enumerated: 2024-04-01
Last updated: 2024-04-01
Certified: 2024-04-01

Frequently asked questions

What is Mountain Rooted Behavioral Health LLC's NPI number?: Mountain Rooted Behavioral Health LLC's National Provider Identifier (NPI) is 1073364469, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What type of organization is Mountain Rooted Behavioral Health LLC?: Mountain Rooted Behavioral Health LLC is classified in the NPPES registry as Psychiatry Physician (Allopathic & Osteopathic Physicians).
Where is Mountain Rooted Behavioral Health LLC located?: Mountain Rooted Behavioral Health LLC's practice location on file with NPPES is 106 Lockheed Dr, Beaver, WV 25813-8962.
What is Mountain Rooted Behavioral Health LLC's phone number?: The practice phone number listed in the NPPES registry for Mountain Rooted Behavioral Health LLC is (304) 253-5155.
Does Mountain Rooted Behavioral Health LLC accept Medicare?: Mountain Rooted Behavioral Health LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
Who is the authorized official for Mountain Rooted Behavioral Health LLC?: The authorized official listed on Mountain Rooted Behavioral Health LLC's NPPES record is Victor Rendon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
Is Mountain Rooted Behavioral Health LLC's NPI active?: Yes — Mountain Rooted Behavioral Health LLC's NPI (1073364469) is active in the NPPES registry as of the last update on 2024-04-01.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Other names (DBA / former)

Profile Score

Frequently asked questions