Individual provider Active NPI

Wesley Wood, MA, ADC

  • Addiction (Substance Use Disorder) Counselor
  • Saint Albans, WV
National Provider Identifier
1235990375
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
23-114 Issued in WV
Practice address
2333 Maccorkle Ave Ste 201
Saint Albans, WV 25177-2074
Phone
(304) 419-7252
NPI assigned
Jan 17, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 23-114 WV Primary

Addresses

Primary practice location

2333 Maccorkle Ave Ste 201
Saint Albans, WV 25177-2074

Mailing address

2333 Maccorkle Ave Ste 201
Saint Albans, WV 25177-2074
Phone (304) 419-7252

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
23-114WVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ten Up Ministries, Inc Addiction (Substance Use Disorder) Current Accepting new patients
Ten Up Ministries, Inc Addiction (Substance Use Disorder) CurrentSince Jan 21, 2024 Accepting new patients

Locations

2333 Maccorkle Ave
Ste 201
Saint Albans, WV 25177
Phone (304) 419-7252

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705449600000",
    "number": "1235990375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333 MACCORKLE AVE STE 201",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772074",
            "telephone_number": "304-419-7252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 MACCORKLE AVE STE 201",
            "city": "SAINT ALBANS",
            "state": "WV",
            "postal_code": "251772074",
            "telephone_number": "304-419-7252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOD",
        "first_name": "WESLEY",
        "credential": "MA, ADC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WV",
            "license": "23-114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Albans, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.