Individual provider Active NPI

Willard A Sheets, LPC

  • Professional Counselor
  • Huntington, WV
National Provider Identifier
1871558841
Registry record updated Jan 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
2210 Issued in WV
Practice address
3375 US RT 60 E
Huntington, WV 25705-2837
Phone
(304) 525-7851
Fax
(304) 586-0671
NPI assigned
Apr 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X E4195 OH
Professional Counselor 101YP2500X 2210 WV Primary

Addresses

Primary practice location

3375 US RT 60 E
Huntington, WV 25705-2837

Mailing address

252 Courthouse Drive P.O. Box 299
Prestera Center
Winfield, WV 25213-9370
Phone (304) 525-7851

Other identifiers 2

IdentifierTypeStateIssuer
0253701MedicaidOH
0005355002MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260410001249 OH Practitioner - Mental Health Counselor 3274008800 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sailor Health Medical PAGroup PAC ID 4486182342, 301 clinicians

Practice addresses (Care Compare)

26250 Euclid Ave
Ofc 910
Cleveland, OH 44132-3305
Phone (240) 201-3386

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4195OHMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prestera Center for Mental Health Services Inc Past Accepting new patients
Smith Family Healthcare, LLP Past Accepting new patients

Organizations & group practices 3

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1871558841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 COURTHOUSE DRIVE P.O. BOX 299",
            "address_2": "PRESTERA CENTER",
            "city": "WINFIELD",
            "state": "WV",
            "postal_code": "252139370",
            "telephone_number": "304-525-7851",
            "fax_number": "304-586-0671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3375 US RT 60 E",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257052837",
            "telephone_number": "304-525-7851",
            "fax_number": "304-586-0671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHEETS",
        "first_name": "WILLARD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "OH",
            "license": "E4195",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WV",
            "license": "2210",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0253701",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0005355002",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.