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JASON B WICKLINE
NPI 1114639937
Peer Specialist in Saint Albans, WV

Active since December 23, 2022
403 SUN VALLEY DR, SAINT ALBANS, WV 25177(304) 552-9384 Get Directions Write a Review

NPPES record last updated: January 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2023, Dec 23, 2022 (2 updates tracked since 2022).

About Jason B Wickline NPPES

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

JASON B WICKLINE (NPI 1114639937) is an individual peer specialist in Saint Albans, West Virginia, licensed in West Virginia (22-9273) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1114639937
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJASON B WICKLINE
Location Address403 SUN VALLEY DRSaint Albans, WV 25177-3523
Mailing Address403 Sun Valley DrSaint Albans, WV 25177-3523 · (304) 552-9384
Phone(304) 552-9384
Sole ProprietorNo
Enumeration DateDecember 23, 2022
Last NPPES UpdateJanuary 16, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2023
✔ NPI 1114639937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in WV · 22-9273
Definition
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.
403 SUN VALLEY DR, Saint Albans, WV 25177
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNA WICKLINE
Case Manager/Care Coordinator
403 SUN VALLEY DR
SAINT ALBANS, WV 25177
Kanawha County (304) 881-1479

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 Jason Wickline's NPI number?

The NPI number for Jason Wickline is 1114639937. It was assigned to this individual provider in the NPPES registry on December 23, 2022.

Where is Jason Wickline located?

Jason Wickline practices at 403 Sun Valley Dr, Saint Albans, WV 25177. The listed phone number is (304) 552-9384.

What is Jason Wickline's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Jason Wickline was last updated on January 16, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.