JASON EDWARD CANTERBURY PRSS
NPI 1104692409
Peer Specialist in Saint Albans, WV

Q: What is Jason Canterbury's NPI number?

The NPI number for Jason Canterbury is 1104692409. It was assigned to this individual provider in the NPPES registry on November 28, 2023.

Q: What is Jason Canterbury's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Jason Canterbury was last updated on November 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 28, 2023

2333 MACCORKLE AVE STE 201, SAINT ALBANS, WV 25177(304) 766-0060 Get Directions Write a Review

NPPES record last updated: November 28, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jason Edward Canterbury Prss NPPES

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

JASON EDWARD CANTERBURY PRSS (NPI 1104692409) is an individual peer specialist in Saint Albans, West Virginia, licensed in West Virginia (23-9219) and active in the NPI registry since November 2023.

NPPES Registry Identity

NPI1104692409

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameJASON EDWARD CANTERBURYCredential: PRSS

Location Address2333 MACCORKLE AVE STE 201Saint Albans, WV 25177-2074

Mailing Address2333 Maccorkle Ave Ste 201Saint Albans, WV 25177-2074 · (304) 766-0060

Phone(304) 766-0060

Sole ProprietorNo

Enumeration DateNovember 28, 2023

NPPES CertifiedNovember 10, 2023

✔ NPI 1104692409 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 · 23-9219

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 STE 201, Saint Albans, WV 25177

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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.

JONATHAN SULLIVAN PRSS

Peer Specialist