KAYLEE JO CROWDER PRSS-SUD
NPI 1598640153
Peer Specialist in South Charleston, WV

Active since August 11, 2025
801 LINCOLN DR, SOUTH CHARLESTON, WV 25309(681) 205-8940 Get Directions Write a Review

NPPES record last updated: August 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kaylee Jo Crowder Prss-sud NPPES

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

KAYLEE JO CROWDER PRSS-SUD (NPI 1598640153) is an individual peer specialist in South Charleston, West Virginia, licensed in West Virginia (25-9101SUD) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1598640153
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameKAYLEE JO CROWDERCredential: PRSS-SUD
Location Address801 LINCOLN DRSouth Charleston, WV 25309-1834
Mailing Address1613 6th Ave Apt 303Charleston, WV 25387-2450 · (304) 542-3759
Sole ProprietorYes
Enumeration DateAugust 11, 2025
NPPES CertifiedAugust 11, 2025
NPI 1598640153 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 · 25-9101SUD
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.

801 LINCOLN DR, South Charleston, WV 25309

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.

Peer Specialist
801 LINCOLN DR
SOUTH CHARLESTON, WV 25309
Peer Specialist
801 LINCOLN DR
SOUTH CHARLESTON, WV 25309
Peer Specialist
801 LINCOLN DR
SOUTH CHARLESTON, WV 25309

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598640153, enumerated as an "individual" on August 11, 2025.

The provider is located at 801 LINCOLN DR SOUTH CHARLESTON, WV 25309 and the phone number is (681) 205-8940.

Peer Specialist with taxonomy code 175T00000X.