Individual provider Active NPI

Joshua Michael Whitt

  • Peer Specialist
  • Wheeling, WV
National Provider Identifier
1194459669
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
20-927 Issued in WV
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

Updated by the provider on Jul 12, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
17500000XMedicaidWV

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

LicenseStateTypeSpecialty
20-927WVMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Northwood Health Systems Inc CurrentSince Jan 1, 2023 Accepting new patients
Northwood Health Systems Inc CurrentSince Oct 8, 2023 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.

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.

Verify at the official NPI Registry.