Active NPI
Wendy Zolla Treadway, M.A.
- Professional Counselor
- Baker, WV
National Provider Identifier
1811035702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 947
- Practice address
- 79 Grover Smith Rd
Baker, WV 26801-0058 - Phone
- (304) 897-6028
- Fax
- (304) 897-7010
- NPI assigned
- Feb 2, 2007
- Sex
- Female
- 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 | 947 | WV | Primary |
Addresses
Primary practice location
79 Grover Smith Rd
Baker, WV 26801-0058
Mailing address
PO Box 58
Baker, WV 26801-0058
Phone (304) 897-6028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001723103 | Other | WV | BLUE CROSS |
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
- Opted out of Medicare
- Yes, effective Sep 1, 2025 through Sep 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 947 | WV | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1811035702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 58",
"city": "BAKER",
"state": "WV",
"postal_code": "268010058",
"telephone_number": "304-897-6028",
"fax_number": "304-897-7010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "79 GROVER SMITH RD",
"city": "BAKER",
"state": "WV",
"postal_code": "268010058",
"telephone_number": "304-897-6028",
"fax_number": "304-897-7010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREADWAY",
"first_name": "WENDY",
"middle_name": "ZOLLA",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WV",
"license": "947",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "001723103",
"state": "WV"
}
],
"endpoints": [],
"other_names": []
}Other providers in Baker, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.