William Hedrick, PRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

23-9146 Issued in WV

Practice address

1402 4TH Ave
Huntington, WV 25701-2403

Phone

(304) 529-4276

NPI assigned

Sep 20, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lodestar, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Huntington, WV
  • NPI 1740958065
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1891573861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 4TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012403",
            "telephone_number": "304-529-4276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDRICK",
        "first_name": "WILLIAM",
        "credential": "PRSS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "23-9146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Ann Heck, FNP-BC
• Hectors Physical Therapy Clinic LLC
• Allyson S Hedges, LPC
• Jaclin Nicole Hedmond
• Alexis Hedrick
• Heffernan Assaley & Lee M D Inc.
• Jennifer Lynn Heffner
• Jermiah I Heflin
• Kyle R Hegg, M.D.
• Susan K Helmer, CRNA

• Peer Specialist in Huntington, WV
• Providers in Huntington, WV by specialty
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 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.

Verify at the official NPI Registry.