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Active NPI 1538975222 Individual Practitioner Male Practitioner

Timothy Koehler , PRSS

Peer Specialist • Nitro, WV

Professional Overview & Biography Verified Profile Summary

Timothy Koehler, PRSS is a registered healthcare professional specializing in Peer Specialist in Nitro, WV. Practice services are available at 142 CROSS LANES DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

142 Cross Lanes Dr

Nitro, WV 251431007

Telephone 3047698484
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Nitro, WV

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Nitro, WV (921 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-07-06
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WV 24-9168

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
Olin Green

Peer Specialist

NPI 1831943844

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 06, 2026

Peer Specialist (License #24-9168 in WV)

NPI Profile Active December 06, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location December 06, 2024

Registered at 142 CROSS LANES DR, NITRO, WV 251431007 (Tel: 3047698484)

📍
Updated Business Mailing Address December 06, 2024

Registered at 142 CROSS LANES DR, NITRO, WV 251431007 (Tel: 3047698484)

👤
Provider Name / Credentials Updated December 06, 2024

Recorded as TIMOTHY KOEHLER, PRSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2024

Counselor (License #24-9168 in WV)

🟢
Initial NPI Registration & Enumeration December 06, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1538975222
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2024
Last Update: July 06, 2026
Sole Proprietor: Yes

Mailing Address

142 Cross Lanes Dr

Nitro, WV 251431007

Phone: 3047698484

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.