Individual provider Active NPI

Wendy Smith, CADC

  • Addiction (Substance Use Disorder) Counselor
  • Ripley, WV
National Provider Identifier
1649048331
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
21-103 Issued in WV
Practice address
111 Court St S Ste B
Ripley, WV 25271-1408
Phone
(304) 372-1030
Fax
(304) 372-1032
NPI assigned
Dec 13, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 21-103 WV Primary

Addresses

Primary practice location

111 Court St S Ste B
Ripley, WV 25271-1408

Mailing address

111 Court St S Ste B
Ripley, WV 25271-1408
Phone (304) 372-1030

Other practice location 1

3 Ada Dr Ste 3
New Martinsville, WV 26155-2800
Phone (304) 398-2298

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

111 Court St S
Ripley, WV 25271-1408

400 Wildwood Dr
Millwood, WV 25262-9738

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21-103WVMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Envision Medical Care, LLC CurrentSince Dec 17, 2023 Accepting new patients
Envision Medical Care, LLC CurrentSince Dec 17, 2023 Accepting new patients
New Beginnings Recovery Clinic, LLC PastSince Jun 1, 2023 Accepting new patients
New Beginnings Recovery Clinic, LLC PastSince May 1, 2023 Accepting new patients

Locations

111 Court St S
Ripley, WV 25271
Phone (304) 372-1030

111 Court St S
Ste B
Ripley, WV 25271
Phone (304) 372-1030

Organizations & group practices 4

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": "1702425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1649048331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 COURT ST S STE B",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711408",
            "telephone_number": "304-372-1030",
            "fax_number": "304-372-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 COURT ST S STE B",
            "city": "RIPLEY",
            "state": "WV",
            "postal_code": "252711408",
            "telephone_number": "304-372-1030",
            "fax_number": "304-372-1032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Ada Dr Ste 3",
            "address_purpose": "LOCATION",
            "city": "New Martinsville",
            "state": "WV",
            "postal_code": "261552800",
            "country_code": "US",
            "telephone_number": "304-398-2298",
            "fax_number": "304-398-2244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "WENDY",
        "credential": "CADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-13",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "WV",
            "license": "21-103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ripley, WV

Sources for this page

Verify at the official NPI Registry.