Organization Active NPI

WV Wellness and Recovery LLC

  • Medical Specialty Clinic/Center
  • Hurricane, WV
National Provider Identifier
1275150351
Registry record updated Jul 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
WV WELLNESS AND RECOVERY LLC
Practice address
4 Putnam Village Drive
Hurricane, WV 25526
Phone
(304) 633-7735
NPI assigned
Jul 6, 2020
Last updated
Jul 6, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2020

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

Authorized official

Name
Derrick Riley Akers
Title
Owner
Phone
(304) 633-7735

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

4 Putnam Village Drive
Hurricane, WV 25526

Mailing address

18144 Jerrys Run Rd
Fraziers Bottom, WV 25082-9638
Phone (304) 937-2586

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201008002697 WV Part B Supplier - Clinic/Group Practice 5294155412 Receives reassigned benefits from 3 practitioners
Practice locations: Hurricane, WV; Point Pleasant, WV

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
51D2192076WV Wellness and Recovery, LLC4 Putnam Village Drive, Hurricane, WV 25526Certificate of waiverSep 3, 2026

National Provider Directory

National Provider Directory

Locations

4 Putnam Village Dr
Hurricane, WV 25526
Phone (304) 757-0057

64 White Ridge Rd
Point Pleasant, WV 25550
Phone (304) 675-2230

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593993600000",
    "number": "1275150351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18144 JERRYS RUN RD",
            "city": "FRAZIERS BOTTOM",
            "state": "WV",
            "postal_code": "250829638",
            "telephone_number": "304-937-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PUTNAM VILLAGE DRIVE",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "25526",
            "telephone_number": "304-633-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WV WELLNESS AND RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-06",
        "last_updated": "2020-07-06",
        "certification_date": "2020-07-06",
        "status": "A",
        "authorized_official_last_name": "AKERS",
        "authorized_official_first_name": "DERRICK",
        "authorized_official_middle_name": "RILEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-633-7735"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hurricane, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.