Individual provider Active NPI

Harold Spade II

  • Peer Specialist
  • Morgantown, WV
National Provider Identifier
1639037872
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
25-9177SUD Issued in WV
Practice address
20 Scott Ave Ste 301
Morgantown, WV 26508-8857
Phone
(304) 241-4000
NPI assigned
Jan 15, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 25-9177SUD WV Primary

Addresses

Primary practice location

20 Scott Ave Ste 301
Morgantown, WV 26508-8857

Mailing address

20 Scott Ave Ste 301
Morgantown, WV 26508-8857
Phone (304) 241-4000

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

State licenses

LicenseStateTypeSpecialty
25-9177SUDWVMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Laurens Wish Addiction Triage Center Inc PastSince Aug 3, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1639037872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 SCOTT AVE STE 301",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088857",
            "telephone_number": "304-241-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 SCOTT AVE STE 301",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088857",
            "telephone_number": "304-241-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPADE",
        "first_name": "HAROLD",
        "name_suffix": "II",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "25-9177SUD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morgantown, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.