Active NPI
Joshua Michael Whitt
- Peer Specialist
- Wheeling, WV
National Provider Identifier
1194459669
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 20-927
- Practice address
- 1819 Wood St
Wheeling, WV 26003-3607 - Phone
- (304) 234-3570
- Fax
- (304) 845-9977
- NPI assigned
- Jul 12, 2022
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 20-927 | WV | Primary |
Addresses
Primary practice location
1819 Wood St
Wheeling, WV 26003-3607
Mailing address
125 15TH St Apt 101
Wheeling, WV 26003-3681
Phone (304) 277-0058
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 17500000X | Medicaid | WV |
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 |
|---|---|---|---|
| 20-927 | WV | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwood Health Systems Inc | Current | Accepting new patients | |
| Northwood Health Systems Inc | Current | 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 and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Wheeling, WV
- NPI 1447473475
-
- Community/Behavioral Health Agency
- Wheeling, WV
- NPI 1649277559
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1194459669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 15TH ST APT 101",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033681",
"telephone_number": "304-277-0058"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 WOOD ST",
"city": "WHEELING",
"state": "WV",
"postal_code": "260033607",
"telephone_number": "304-234-3570",
"fax_number": "304-845-9977"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITT",
"first_name": "JOSHUA",
"middle_name": "MICHAEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WV",
"license": "20-927",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "17500000X",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.