SHANE MODESITT
NPI 1104660620
Counselor - Addiction (Substance Use Disorder) in Parkersburg, WV

Q: What is Shane Modesitt's NPI number?

The NPI number for Shane Modesitt is 1104660620. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Q: What is Shane Modesitt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Shane Modesitt was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 20, 2024

425 JULIANA ST # NA, PARKERSBURG, WV 26101(304) 893-9777 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Shane Modesitt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHANE MODESITT (NPI 1104660620) is an individual addiction (substance use disorder) provider in Parkersburg, West Virginia and active in the NPI registry since June 2024.

NPPES Registry Identity

NPI1104660620

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameSHANE MODESITT

Location Address425 JULIANA ST # NAParkersburg, WV 26101-5352

Mailing Address425 Juliana St # NaParkersburg, WV 26101-5352 · (304) 893-9777

Phone(304) 893-9777

Sole ProprietorNo

Enumeration DateJune 20, 2024

NPPES CertifiedJune 20, 2024

✔ NPI 1104660620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

425 JULIANA ST # NA, Parkersburg, WV 26101

Open in Google Maps ↗

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shane Modesitt's NPI number?

The NPI number for Shane Modesitt is 1104660620. It was assigned to this individual provider in the NPPES registry on June 20, 2024.

Where is Shane Modesitt located?

Shane Modesitt practices at 425 Juliana St # Na, Parkersburg, WV 26101. The listed phone number is (304) 893-9777.

What is Shane Modesitt's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Shane Modesitt was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.