1. Home
  2. Directory
  3. West Virginia
  4. Saint Albans
  5. Peer Specialist
  6. NPI Profile

SHANE LIVELY
NPI 1396473708
Peer Specialist in Saint Albans, WV

Active since August 12, 2022
2333 MACCORKLE AVE, SAINT ALBANS, WV 25177(681) 378-5026 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shane Lively NPPES

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

SHANE LIVELY (NPI 1396473708) is an individual peer specialist in Saint Albans, West Virginia and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1396473708
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameSHANE LIVELY
Location Address2333 MACCORKLE AVESaint Albans, WV 25177-2073
Mailing Address2333 Maccorkle AveSaint Albans, WV 25177-2073 · (681) 378-5026
Phone(681) 378-5026
Sole ProprietorNo
Enumeration DateAugust 12, 2022
NPPES CertifiedAugust 12, 2022
✔ NPI 1396473708 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.
2333 MACCORKLE AVE, Saint Albans, WV 25177
Open in Google Maps ↗

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.

PAMELA HALL
Peer Specialist
2333 MACCORKLE AVE
SAINT ALBANS, WV 25177
Kanawha County (304) 766-0060
KEVIN S PERDUE PRSS
Peer Specialist
2333 MACCORKLE AVE
SAINT ALBANS, WV 25177
Kanawha County (304) 360-2225
TRACEY LYNN GODDARD PRSS
Peer Specialist
2333 MACCORKLE AVE
SAINT ALBANS, WV 25177
Kanawha County (304) 766-0060
BRITTANY KAY BALDWIN
Peer Specialist
2333 MACCORKLE AVE
SAINT ALBANS, WV 25177
Kanawha County (304) 766-0060
MARK ALDERMAN
Peer Specialist
2333 MACCORKLE AVE
SAINT ALBANS, WV 25177
Kanawha County (304) 766-0060
AMBER C RICOTTILLI
Peer Specialist
2333 MACCORKLE AVE
SAINT ALBANS, WV 25177
Kanawha County (304) 766-0060
REBECCA SUE JONES
Peer Specialist
2333 MACCORKLE AVE
SAINT ALBANS, WV 25177
Kanawha County (304) 766-0060
MIKAYLA HUNTER
Peer Specialist
2333 MACCORKLE AVE
SAINT ALBANS, WV 25177
Kanawha County (304) 766-0060

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 Lively's NPI number?

The NPI number for Shane Lively is 1396473708. It was assigned to this individual provider in the NPPES registry on August 12, 2022.

Where is Shane Lively located?

Shane Lively practices at 2333 Maccorkle Ave, Saint Albans, WV 25177. The listed phone number is (681) 378-5026.

What is Shane Lively'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 Shane Lively was last updated on August 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.