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CLINT JAY STACY PRSS-SUD
NPI 1326912205
Peer Specialist in Beckley, WV

Active since October 02, 2025
550 N EISENHOWER DR, BECKLEY, WV 25801(681) 323-8335(681) 323-8335 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clint Jay Stacy Prss-sud NPPES

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

CLINT JAY STACY PRSS-SUD (NPI 1326912205) is an individual peer specialist in Beckley, West Virginia, licensed in West Virginia (24-9156) and active in the NPI registry since October 2025.

NPPES Registry Identity

NPI1326912205
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameCLINT JAY STACYCredential: PRSS-SUD
Location Address550 N EISENHOWER DRBeckley, WV 25801-3109
Mailing AddressPo Box 464Panther, WV 24872-0464 · (681) 323-8335 · Fax (681) 323-8335
Phone(681) 323-8335
Fax(681) 323-8335
Sole ProprietorYes
Enumeration DateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
✔ NPI 1326912205 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 · 24-9156
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.
550 N EISENHOWER DR, Beckley, WV 25801
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

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

LEE M COOK
Peer Specialist
550 N EISENHOWER DR
BECKLEY, WV 25801
Raleigh County (304) 254-9610
REALITY CHECK DRUG TESTING
Clinical Medical Laboratory
550 N EISENHOWER DR
BECKLEY, WV 25801
Raleigh County (304) 466-2675
JEANINE LYNN JONES
Peer Specialist
550 N EISENHOWER DR
BECKLEY, WV 25801
Raleigh County (304) 294-9016

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 Clint Stacy's NPI number?

The NPI number for Clint Stacy is 1326912205. It was assigned to this individual provider in the NPPES registry on October 2, 2025.

Where is Clint Stacy located?

Clint Stacy practices at 550 N Eisenhower Dr, Beckley, WV 25801. The listed phone number is (681) 323-8335.

What is Clint Stacy'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 Clint Stacy was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.