LARRY MACON MCCOMMACK II
NPI 1053053157
Counselor - Addiction (Substance Use Disorder) in Charleston, WV

Active since April 09, 2022
102 PATRICK STREET PLZ, CHARLESTON, WV 25387(304) 233-3200 Get Directions Write a Review

NPPES record last updated: April 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry Macon Mccommack Ii NPPES

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

LARRY MACON MCCOMMACK II (NPI 1053053157) is an individual addiction (substance use disorder) provider in Charleston, West Virginia and active in the NPI registry since April 2022.

NPPES Registry Identity

NPI1053053157
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameLARRY MACON MCCOMMACK II
Location Address102 PATRICK STREET PLZCharleston, WV 25387-2444
Mailing Address102 Patrick Street PlzCharleston, WV 25387-2444
Sole ProprietorNo
Enumeration DateApril 9, 2022
NPPES CertifiedApril 9, 2022
NPI 1053053157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
102 PATRICK STREET PLZ, Charleston, WV 25387

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.

Peer Specialist
102 PATRICK STREET PLZ
CHARLESTON, WV 25387
Peer Specialist
102 PATRICK STREET PLZ
CHARLESTON, WV 25387
Peer Specialist
102 PATRICK STREET PLZ
CHARLESTON, WV 25387
Counselor (Addiction (Substance Use Disorder))
102 PATRICK STREET PLZ
CHARLESTON, WV 25387
Counselor (Professional)
102 PATRICK STREET PLZ
CHARLESTON, WV 25387
Peer Specialist
102 PATRICK STREET PLZ
CHARLESTON, WV 25387
Counselor (Addiction (Substance Use Disorder))
102 PATRICK STREET PLZ
CHARLESTON, WV 25387
Peer Specialist
102 PATRICK STREET PLZ
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 Larry Mccommack's NPI number?

The NPI number for Larry Mccommack is 1053053157. It was assigned to this individual provider in the NPPES registry on April 9, 2022.

Where is Larry Mccommack located?

Larry Mccommack practices at 102 Patrick Street Plz, Charleston, WV 25387. The listed phone number is (304) 233-3200.

What is Larry Mccommack's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Larry Mccommack was last updated on April 9, 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.