Ryan Fieldman, PRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

18-900 Issued in WV

Practice address

25208 George Washington Hwy
Aurora, WV 26705-8036

Phone

(304) 239-1214

Fax

(304) 735-3620

NPI assigned

Jul 10, 2026

Sex

Male

Sole proprietor

No

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.

• Jacob'S Ladder at Brookside Farm, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Aurora, WV
  • NPI 1205344355
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2026.

{
    "created_epoch": "1783641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1720906233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 FOUNTAIN VW",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265053849",
            "telephone_number": "304-239-1214",
            "fax_number": "304-735-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25208 GEORGE WASHINGTON HWY",
            "city": "AURORA",
            "state": "WV",
            "postal_code": "267058036",
            "telephone_number": "304-239-1214",
            "fax_number": "304-735-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDMAN",
        "first_name": "RYAN",
        "credential": "PRSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-07-10",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "18-900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faith Friend
• Natasha Lynn Goff
• Susan Caroline Harrison
• Victoria Elizabeth Humphrey
• Jacob'S Ladder at Brookside Farm, LLC

• All providers in Aurora, WV
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.