Active NPI
Samantha Kerns
- Peer Specialist
- Barboursville, WV
National Provider Identifier
1891433876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 25-9163SUD
- Practice address
- 652 Main St
Barboursville, WV 25504-1439 - Phone
- (304) 302-0707
- NPI assigned
- May 20, 2022
- 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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 25-9163SUD | WV | Primary |
Addresses
Primary practice location
652 Main St
Barboursville, WV 25504-1439
Mailing address
79 Robert C Byrd Industrial Park
Moorefield, WV 26836-8508
Phone (304) 490-7855
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 |
|---|---|---|---|
| 25-9163SUD | WV | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1762992000000",
"number": "1891433876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 ROBERT C BYRD INDUSTRIAL PARK",
"city": "MOOREFIELD",
"state": "WV",
"postal_code": "268368508",
"telephone_number": "304-490-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 MAIN ST",
"city": "BARBOURSVILLE",
"state": "WV",
"postal_code": "255041439",
"telephone_number": "304-302-0707"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERNS",
"first_name": "SAMANTHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-20",
"last_updated": "2025-11-13",
"certification_date": "2025-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "WV",
"license": "25-9163SUD",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barboursville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.