1. Home
  2. Directory
  3. West Virginia
  4. Kenova
  5. Peer Specialist
  6. NPI Profile

MR. GARY LEE MCDERMENT JR. PRSS
NPI 1477331163
Peer Specialist in Kenova, WV

Active since September 15, 2023

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Gary Lee Mcderment Jr. Prss NPPES

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

MR. GARY LEE MCDERMENT JR. PRSS (NPI 1477331163) is an individual peer specialist in Kenova, West Virginia, licensed in West Virginia (23-9188) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1477331163
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. GARY LEE MCDERMENT JR.Credential: PRSS
Location Address802 OAK STKenova, WV 25530-1519
Mailing Address802 Oak StKenova, WV 25530-1519 · (304) 908-1056
Phone(304) 908-1056
Sole ProprietorYes
Enumeration DateSeptember 15, 2023
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
✔ NPI 1477331163 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 · 23-9188
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.
802 OAK ST, Kenova, WV 25530
Open in Google Maps ↗

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.

LORALEE BROWN
Peer Specialist
802 OAK ST
KENOVA, WV 25530
Wayne County (304) 908-1056
RAYMOND RUSSELL HEMINGWAY JR.
Peer Specialist
802 OAK ST
KENOVA, WV 25530
Wayne County (304) 908-1056
ASHLEY DAWN VANNATTER PRSS
Peer Specialist
802 OAK ST
KENOVA, WV 25530
Wayne County (304) 908-1056
CONTEMPLATIONS BEHAVIORAL HEALTH
Community/Behavioral Health
802 OAK ST
KENOVA, WV 25530
Wayne County (606) 547-2262
JAMES SETH BROWN PR
Peer Specialist
802 OAK ST
KENOVA, WV 25530
Wayne County (304) 908-1056
MS. CELESTE KATHLEEN PIERCE PRSS
Peer Specialist
802 OAK ST
KENOVA, WV 25530
Wayne County (304) 908-1056
ADAM NICHOLAS WEBB
Peer Specialist
802 OAK ST
KENOVA, WV 25530
Wayne County (304) 908-1056
MARK HILL
Peer Specialist
802 OAK ST
KENOVA, WV 25530
Wayne County (304) 908-1056

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 Gary Mcderment's NPI number?

The NPI number for Gary Mcderment is 1477331163. It was assigned to this individual provider in the NPPES registry on September 15, 2023.

Where is Gary Mcderment located?

Gary Mcderment practices at 802 Oak St, Kenova, WV 25530. The listed phone number is (304) 908-1056.

What is Gary Mcderment'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 Gary Mcderment was last updated on February 21, 2024. 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.