Active NPI
William Wethington, CADC
- Mental Health Counselor
- Liberty, KY
National Provider Identifier
1023042561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Practice address
- 322 Middleburg Street
Liberty, KY 42539 - Phone
- (606) 787-9472
- Fax
- (606) 787-7344
- NPI assigned
- Jul 10, 2006
- Last updated
- Dec 9, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 588 | KY |
Addresses
Primary practice location
322 Middleburg Street
Liberty, KY 42539
Mailing address
130 Southern School Rd
Somerset, KY 42501-3223
Phone (606) 679-4782
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 |
|---|---|---|---|
| 588 | KY | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lake Cumberland Regional Mental Health Mental Retardation Board, Inc. | Past | Accepting new patients | |
| Lake Cumberland Regional MHMR Board Outpatient | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba The Adanta Group
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1336172642
-
dba The Adanta Group Outpatient
- Community/Behavioral Health Agency
- Somerset, KY
- NPI 1992831713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1607472000000",
"number": "1023042561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 SOUTHERN SCHOOL RD",
"city": "SOMERSET",
"state": "KY",
"postal_code": "425013223",
"telephone_number": "606-679-4782",
"fax_number": "606-678-5296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 MIDDLEBURG STREET",
"city": "LIBERTY",
"state": "KY",
"postal_code": "42539",
"telephone_number": "606-787-9472",
"fax_number": "606-787-7344"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WETHINGTON",
"first_name": "WILLIAM",
"credential": "CADC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-10",
"last_updated": "2020-12-09",
"certification_date": "2020-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "KY",
"license": "588",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Liberty, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.