Active NPI
William L. Tanzey II, RETIRED LPC
- Mental Health Counselor
- South Charleston, WV
National Provider Identifier
1003415282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 574
- Practice address
- 509 2ND Ave
South Charleston, WV 25303-1310 - Phone
- (304) 720-3555
- NPI assigned
- Oct 20, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 574 | WV | Primary |
Addresses
Primary practice location
509 2ND Ave
South Charleston, WV 25303-1310
Mailing address
509 2ND Ave
South Charleston, WV 25303-1310
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 574 | WV | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Associates of the Kanawha Valley, PLLC | Current | Accepting new patients |
Locations
509 2nd Ave
South Charleston, WV 25303
Phone (304) 720-3555
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- South Charleston, WV
- NPI 1174686463
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686787200000",
"number": "1003415282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 2ND AVE",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253031310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 2ND AVE",
"city": "SOUTH CHARLESTON",
"state": "WV",
"postal_code": "253031310",
"telephone_number": "304-720-3555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANZEY",
"first_name": "WILLIAM",
"middle_name": "L.",
"name_suffix": "II",
"credential": "RETIRED LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-10-20",
"last_updated": "2023-06-15",
"certification_date": "2023-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WV",
"license": "574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Charleston, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.