Active NPI
Kevin Walnoha, PR
- Peer Specialist
- Saint Albans, WV
National Provider Identifier
1891430328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 21-9136
- Practice address
- 2333 McCorkle Ave
Saint Albans, WV 25177-2073 - Phone
- (681) 294-6861
- NPI assigned
- Apr 29, 2022
- Last updated
- Jan 31, 2023
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | WV | ||
| Peer Specialist | 175T00000X | 21-9136 | WV | Primary |
Addresses
Primary practice location
2333 McCorkle Ave
Saint Albans, WV 25177-2073
Mailing address
2333 McCorkle Ave
Saint Albans, WV 25177-2073
Phone (681) 294-6861
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
| License | State | Type | Specialty |
|---|---|---|---|
| 21-9136 | WV | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Recovery Point West Virginia Behavioral Health Inc | Single Specialty | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Huntington, WV
- NPI 1760037014
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675123200000",
"number": "1891430328",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2333 MCCORKLE AVE",
"city": "SAINT ALBANS",
"state": "WV",
"postal_code": "251772073",
"telephone_number": "681-294-6861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2333 MCCORKLE AVE",
"city": "SAINT ALBANS",
"state": "WV",
"postal_code": "251772073",
"telephone_number": "681-294-6861"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WALNOHA",
"first_name": "KEVIN",
"credential": "PR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-04-29",
"last_updated": "2023-01-31",
"certification_date": "2023-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WV",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WV",
"license": "21-9136",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Saint Albans, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.