MICHAEL SHANE WELLS PRSS NPI 1215790043

NPI Information

  • NPI: 1215790043
  • Provider Name: MICHAEL SHANE WELLS, PRSS
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 114 N WALNUT ST
    PHILIPPI, WV
    ZIP 26416
  • Phone: (304) 918-4516

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NPI Details

Michael Shane Wells, PRSS is a peer specialist in Philippi, WV. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Michael Shane Wells, PRSS NPI is 1215790043. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

114 N WALNUT ST
PHILIPPI, WV
ZIP 26416-127
Phone: (304) 918-4516

The enumeration date for this NPI number is 2/5/2024 and was last updated on 2/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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