TYSON WADE KINCAID - NPI 1366150153 - Peer Specialist in Beckley, WV

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

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About Tyson Wade Kincaid NPPES

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

TYSON WADE KINCAID (NPI 1366150153) is an individual peer specialist in Beckley, West Virginia and active in the NPI registry since November 2022.

NPPES Registry Identity

NPI1366150153

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameTYSON WADE KINCAID

Location Address345 PRINCE ST STE 1Beckley, WV 25801-4515

Mailing Address317 2nd StBeaver, WV 25813-9547 · (304) 719-3915

Phone(304) 254-8709

Sole ProprietorYes

Enumeration DateNovember 9, 2022

NPPES CertifiedNovember 9, 2022

✔ NPI 1366150153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.

345 PRINCE ST STE 1, Beckley, WV 25801

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

COMPASS COUNSELING, LLC

Community/Behavioral Health