Active NPI
Chad S Hostetler, MA, LPC
- Professional Counselor
- Philippi, WV
National Provider Identifier
1619277282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 1668
- Practice address
- 23 Wabash Ave
Philippi, WV 26416-1262 - Phone
- (304) 457-1670
- NPI assigned
- Oct 28, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 1668 | WV | Primary |
Addresses
Primary practice location
23 Wabash Ave
Philippi, WV 26416-1262
Mailing address
23 Wabash Ave
Philippi, WV 26416-1262
Phone (304) 457-1670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861562126 | Medicaid | WV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240213000403 | WV | Practitioner - Mental Health Counselor | 5890138200 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Care of West Virginia, Inc.
Practice addresses (Care Compare)
70 Graceland Dr
Elkins, WV 26241-4121
Phone (304) 473-5626
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts
Practice roles
Locations
37 W Main St
Buckhannon, WV 26201
Phone (304) 472-1712
59 College Ave
Buckhannon, WV 26201
Phone (304) 473-8000
77 W Main St
Buckhannon, WV 26201
Phone (304) 473-1440
Interoperability endpoints
- chad.hostetler.1@4803.direct.athenahealth.com
Organizations & group practices 42
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.
-
- Federally Qualified Health Center (FQHC)
- Elkins, WV
- NPI 1235877267
WV
-
- Federally Qualified Health Center (FQHC)
- Buckhannon, WV
- NPI 1487145769
WV
-
- Federally Qualified Health Center (FQHC)
- Slatyfork, WV
- NPI 1215741665
-
- Federally Qualified Health Center (FQHC)
- Dunmore, WV
- NPI 1043567456
-
- Federally Qualified Health Center (FQHC)
- Sutton, WV
- NPI 1053821363
-
- Federally Qualified Health Center (FQHC)
- Buckhannon, WV
- NPI 1063048189
-
- Federally Qualified Health Center (FQHC)
- Weston, WV
- NPI 1073944658
-
- Federally Qualified Health Center (FQHC)
- Sutton, WV
- NPI 1104175058
-
- Federally Qualified Health Center (FQHC)
- Buckhannon, WV
- NPI 1104177674
-
- Federally Qualified Health Center (FQHC)
- Roanoke, WV
- NPI 1104292168
-
- Federally Qualified Health Center (FQHC)
- Buckhannon, WV
- NPI 1114277050
-
- Community/Behavioral Health Agency
- Bridgeport, WV
- NPI 1144811290
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1288224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1288224000000",
"number": "1619277282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 WABASH AVE",
"city": "PHILIPPI",
"state": "WV",
"postal_code": "264161262",
"telephone_number": "304-457-1670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 WABASH AVE",
"city": "PHILIPPI",
"state": "WV",
"postal_code": "264161262",
"telephone_number": "304-457-1670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOSTETLER",
"first_name": "CHAD",
"middle_name": "S",
"credential": "MA, LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-10-28",
"last_updated": "2010-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "1668",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861562126",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philippi, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.