Active NPI
William Raymond Thompson, RECOVERY COACH
- Substance Use Disorder Rehabilitation Hospital Unit
- Oak Hill, WV
National Provider Identifier
1124555230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Hospital Unit
- Practice address
- 114 Summerlee Ave
Oak Hill, WV 25901-3059 - Phone
- (304) 877-1074
- NPI assigned
- May 19, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Substance Use Disorder Rehabilitation Hospital Unit | 276400000X | WV | Primary |
Addresses
Primary practice location
114 Summerlee Ave
Oak Hill, WV 25901-3059
Mailing address
114 Summerlee Ave
Oak Hill, WV 25901-3059
Phone (304) 877-1074
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1495152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495152000000",
"number": "1124555230",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 SUMMERLEE AVE",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259013059",
"telephone_number": "304-877-1074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114 SUMMERLEE AVE",
"city": "OAK HILL",
"state": "WV",
"postal_code": "259013059",
"telephone_number": "304-877-1074"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "WILLIAM",
"middle_name": "RAYMOND",
"name_prefix": "Mr.",
"credential": "RECOVERY COACH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-19",
"last_updated": "2017-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "276400000X",
"taxonomy_group": "",
"desc": "Rehabilitation, Substance Use Disorder Unit",
"state": "WV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oak Hill, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.