Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Samantha Dawn Bolyard, PLPC

Individual provider Professional Counselor · NPI 1588389738

Samantha Dawn Bolyard, PLPC is a Mental Health Counselor in Morgantown, West Virginia. Qualified in 2021, 5 years ago. Practices with Grandw Inc, a 90-clinician group, accepts Medicare assignment and offers telehealth. Licensed in West Virginia.

Years since qualifying
5
Licensed in
WV
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

1005 White Willow Way
Morgantown, WV 26505-6119
Phone: (304) 460-5123
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 3014 (WV)
Professional Counselor Taxonomy 101YP2500X · Licence 3014 (WV)
Professional Counselor Taxonomy 101YP2500X · Licence 689 (WV)

Record details

NPI number1588389738
Entity typeIndividual (Type 1)
GenderFemale
Credentials PLPC
Sole proprietorNo
NPI enumeratedOctober 10, 2022
Last updated in NPPESApril 13, 2026
Certification dateApril 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Grandw Inc — 90 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Morgantown