Individual provider Active NPI

Zachery Michael Hodge

  • Peer Specialist
  • Huntington, WV
National Provider Identifier
1922972777
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
25-9151SUD Issued in WV
Practice address
1236 5TH Ave
Huntington, WV 25701-2207
Phone
(681) 204-5400
Fax
(681) 378-6108
NPI assigned
Oct 3, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 175T00000X 25-9151SUD WV Primary
Community Health Worker 172V00000X WV

Addresses

Primary practice location

1236 5TH Ave
Huntington, WV 25701-2207

Mailing address

1236 5TH Ave
Huntington, WV 25701-2207
Phone (681) 204-5400

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

LicenseStateTypeSpecialty
25-9151SUDWVMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Hawc CurrentSince Oct 5, 2025 Accepting new patients

Locations

1236 5th Ave
Huntington, WV 25701
Phone (681) 204-5400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1922972777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 5TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012207",
            "telephone_number": "681-204-5400",
            "fax_number": "681-378-6108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 5TH AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257012207",
            "telephone_number": "681-204-5400",
            "fax_number": "681-378-6108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGE",
        "first_name": "ZACHERY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-10-03",
        "last_updated": "2026-04-28",
        "certification_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "25-9151SUD",
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "WV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2026; 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.