KYLE FETHEROLF PRSS
NPI 1316458912
Peer Specialist in Huntington, WV

Q: What is Kyle Fetherolf's NPI number?

The NPI number for Kyle Fetherolf is 1316458912. It was assigned to this individual provider in the NPPES registry on October 23, 2017.

Q: What is Kyle Fetherolf's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kyle Fetherolf was last updated on October 27, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 23, 2017

1402 4TH AVE, HUNTINGTON, WV 25701(304) 529-4276 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2018, Oct 23, 2017 (2 updates tracked since 2017).

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About Kyle Fetherolf Prss NPPES

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

KYLE FETHEROLF PRSS (NPI 1316458912) is an individual peer specialist in Huntington, West Virginia and active in the NPI registry since October 2017.

NPPES Registry Identity

NPI1316458912

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameKYLE FETHEROLFCredential: PRSS

Location Address1402 4TH AVEHuntington, WV 25701-2403

Mailing Address1402 4th AveHuntington, WV 25701-2403 · (304) 529-4276

Phone(304) 529-4276

Sole ProprietorYes

Enumeration DateOctober 23, 2017

Last NPPES UpdateOctober 27, 20212 updates tracked since enumeration

NPPES CertifiedOctober 27, 2021

✔ NPI 1316458912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

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.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 163662 (OH)

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

1402 4TH AVE, Huntington, WV 25701

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Other Providers at the Same Location NPPES 20

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

MISTY MOUNT PRSS

Peer Specialist