Michael Scott Waggoner, PRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

23-9241 Issued in WV

Practice address

1218 5TH Ave
Huntington, WV 25701-2234

Phone

(681) 378-3908

NPI assigned

Nov 8, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Manners Care Systems

  • Primary Care Clinic/Center
  • Big Run, PA
  • NPI 1184587024
  NPD Authorized official
• Axispoint Health Systems, Inc.

  • Community/Behavioral Health Agency
  • Huntington, WV
  • NPI 1639006976
  NPD
• Recovery Resource Group

  • Community/Behavioral Health Agency
  • Huntington, WV
  • NPI 1669066858
  NPD
• Jason a. Moore, D.C. PLLC

  dba Huntington Chiropractic Accident & Injury Clinic

  • Health Service Clinic/Center
  • Huntington, WV
  • NPI 1316168271
  NPD (past)

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

{
    "created_epoch": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1285408492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 NEDRA DR",
            "city": "BARBOURSVILLE",
            "state": "WV",
            "postal_code": "255041141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 5TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012234",
            "telephone_number": "681-378-3908"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "802 Oak St",
            "address_purpose": "LOCATION",
            "city": "Kenova",
            "state": "WV",
            "postal_code": "255301519",
            "country_code": "US",
            "telephone_number": "304-908-1056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1402 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington",
            "state": "WV",
            "postal_code": "257012403",
            "country_code": "US",
            "telephone_number": "304-360-9906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WAGGONER",
        "first_name": "MICHAEL",
        "middle_name": "SCOTT",
        "credential": "PRSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-08",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "23-9241",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Wade
• Luneisha Wade
• Shauna Wade, MOT, OTR/L
• Sparkle Wade
• Amber N Waggoner, LPN
• Stephanie Waggoner
• Ian Darwin Wagner, MD
• Ida Wagner
• Molly Wagner
• Patrick Wagner

• Peer Specialist in Huntington, WV
• Providers in Huntington, WV by specialty
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.