Peer Recovery and Therapy Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PEER RECOVERY AND THERAPY SERVICES, LLC

Practice address

10 Hale St Ste 200
Charleston, WV 25301-2830

Phone

(304) 544-5453

Fax

(304) 841-0688

NPI assigned

Jan 24, 2022

Last updated

Jul 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Matthew Nelson

Title

Owner

Phone

(304) 551-1266

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in WV

Enrollment records 1

Locations

Practitioners 3

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.

• Kimberly Adele Hughes, MA

  • Clinical Psychologist
  • Charleston, WV
  • NPI 1760083927
  Medicare reassignment
• Mary Elizabeth Stevens

  • Counselor
  • Charleston, WV
  • NPI 1902766843
  NPD
• Sherrie Lea Blackburn

  • Peer Specialist
  • Parkersburg, WV
  • NPI 1427869791
  NPD (past)

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

{
    "created_epoch": "1642982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1568114262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HALE ST STE 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012830",
            "telephone_number": "304-544-5453",
            "fax_number": "304-841-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HALE ST STE 200",
            "city": "CHARLESTON",
            "state": "WV",
            "postal_code": "253012830",
            "telephone_number": "304-544-5453",
            "fax_number": "304-841-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEER RECOVERY AND THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-24",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "NELSON",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-551-1266"
    },
    "taxonomies": [
        {
            "code": "261QR0800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Recovery Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Peck, PHARM.D.
• Jacob Wayne Peckens
• Jamie Lynn Peden
• Pediatrix Medical Group PC
• Sarah E Peek, DPT
• Peggy Kiser Crouch DC PLLC
• Bonnie Lou Pelfrey
• Johna Pell
• Hannah Pence
• Brittany Marie Penczek

• Community/Behavioral Health Agency in Charleston, WV
• Providers in Charleston, WV by specialty
• Community/Behavioral Health Agency in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.