MR. ZACHARY WADE MITCHEM PRSS
NPI 1922811249
Peer Specialist in Charleston, WV

Active since January 30, 2025
1514 KANAWHA BLVD W, CHARLESTON, WV 25387(304) 646-9018(304) 768-7647 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mr. Zachary Wade Mitchem Prss NPPES

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

MR. ZACHARY WADE MITCHEM PRSS (NPI 1922811249) is an individual peer specialist in Charleston, West Virginia, licensed in West Virginia (25-902SUD) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1922811249
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. ZACHARY WADE MITCHEMCredential: PRSS
Location Address1514 KANAWHA BLVD WCharleston, WV 25387-2533
Mailing Address1514 Kanawha Blvd W, Attn Zack MitchemCharleston, WV 25387-2533 · (304) 646-9018 · Fax (304) 768-7647
Fax(304) 768-7647
Sole ProprietorNo
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1922811249 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 · 25-902SUD
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.
1514 KANAWHA BLVD W, Charleston, WV 25387

Other Providers at the Same Location NPPES 4

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

Peer Specialist
1514 KANAWHA BLVD W
CHARLESTON, WV 25387
Counselor (Professional)
1514 KANAWHA BLVD W
CHARLESTON, WV 25387
Clinic/Center (Mental Health (Including Community Mental Health Center))
1514 KANAWHA BLVD W
CHARLESTON, WV 25387
Peer Specialist
1514 KANAWHA BLVD W
CHARLESTON, WV 25387

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 Zachary Mitchem's NPI number?

The NPI number for Zachary Mitchem is 1922811249. It was assigned to this individual provider in the NPPES registry on January 30, 2025.

Where is Zachary Mitchem located?

Zachary Mitchem practices at 1514 Kanawha Blvd W, Charleston, WV 25387. The listed phone number is (304) 646-9018.

What is Zachary Mitchem'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 Zachary Mitchem was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.