Kristy Rhyan Cantrell, PRSS-SUD

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

24-9177 Issued in WV

Practice address

20 Hospital Dr
Logan, WV 25601-3452

Phone

(304) 831-1101

Fax

(304) 831-1584

NPI assigned

Dec 4, 2020

Last updated

Jun 12, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Southwestern Regional Day Report Center

  • Clinical Social Worker
  • Logan, WV
  • NPI 1154864411
  NPD (past)
• Southwestern Regional Day Report Center

  • Children's Substance Abuse Rehabilitation Facility
  • Logan, WV
  • NPI 1669937744
  NPD (past)

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

{
    "created_epoch": "1607040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1932704178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WASHINGTON AVE STE 300",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013966",
            "telephone_number": "304-792-8689",
            "fax_number": "304-744-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 HOSPITAL DR",
            "city": "LOGAN",
            "state": "WV",
            "postal_code": "256013452",
            "telephone_number": "304-831-1101",
            "fax_number": "304-831-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTRELL",
        "first_name": "KRISTY",
        "middle_name": "RHYAN",
        "credential": "PRSS-SUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-04",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "24-9177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Ann Call
• Bertha Calloway
• Matthew Stephen Campbell, M.S., SLP
• Melissa Campbell
• Brandi Nicole Canterbury, RN,BSN
• Tyler Capua
• Carlton L W Herald DO PC Inc
• Samantha Marie Carter, FNP-C
• Leigh Ann Caserta
• Lisa Mae Casey

• Peer Specialist in Logan, WV
• Providers in Logan, 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 Jun 12, 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.

Verify at the official NPI Registry.