Tracey Sammons

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

4 Putnam Village Dr
Hurricane, WV 25526-1354

Phone

(304) 757-0057

NPI assigned

Dec 11, 2018

Sex

Female

Sole proprietor

No

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

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.

• WV Wellness and Recovery LLC

  • Medical Specialty Clinic/Center
  • Hurricane, WV
  • NPI 1275150351
  NPD

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1992276331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PUTNAM VILLAGE DR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255261354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PUTNAM VILLAGE DR",
            "city": "HURRICANE",
            "state": "WV",
            "postal_code": "255261354",
            "telephone_number": "304-757-0057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMONS",
        "first_name": "TRACEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-11",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Khori Rutter
• Grace Elizabeth Ryan, OTR/L
• Chanda Salser
• Samir Shah Ecpwv LLC
• Gregory Shawn Sammons, O.D.
• Patsy Samples, PCA
• Samuel D O'Dell, DDS, Inc
• Carlee Jane Sang
• Christopher M Santangelo, PA-C
• Jaclyn A Santangelo, MOT

• Addiction (Substance Use Disorder) Counselor in Hurricane, WV
• Providers in Hurricane, WV by specialty
• Addiction (Substance Use Disorder) Counselor in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2024; 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.