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MISS STACY ROSE MCDERMOTT
NPI 1740090836
Peer Specialist in Cedar Rapids, IA

Active since January 10, 2025
3601 16TH AVE SW, CEDAR RAPIDS, IA 52404(319) 390-4611 Get Directions Write a Review

NPPES record last updated: January 10, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Miss Stacy Rose Mcdermott NPPES

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

MISS STACY ROSE MCDERMOTT (NPI 1740090836) is an individual peer specialist in Cedar Rapids, Iowa and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1740090836
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMISS STACY ROSE MCDERMOTT
Location Address3601 16TH AVE SWCedar Rapids, IA 52404-2363
Mailing Address455 16th Ave Se Apt 217Cedar Rapids, IA 52401-2620 · (563) 581-9641
Phone(319) 390-4611
Sole ProprietorNo
Enumeration DateJanuary 10, 2025
NPPES CertifiedJanuary 10, 2025
✔ NPI 1740090836 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
3601 16TH AVE SW, Cedar Rapids, IA 52404
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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.

AMY ALLMANDINGER
Counselor (Addiction (Substance Use Disorder))
3601 16TH AVE SW
CEDAR RAPIDS, IA 52404
Linn County (319) 390-4611
CHERIE DUGGAN
Counselor (Addiction (Substance Use Disorder))
3601 16TH AVE SW
CEDAR RAPIDS, IA 52404
Linn County (319) 390-4611
RACHELE BENNETT
Counselor (Addiction (Substance Use Disorder))
3601 16TH AVE SW
CEDAR RAPIDS, IA 52404
Linn County (319) 390-4611
TIFFANY L BROWN BSW
Counselor (Addiction (Substance Use Disorder))
3601 16TH AVE SW
CEDAR RAPIDS, IA 52404
Linn County (319) 390-4611
GERARDO SEPULVEDA
Counselor (Addiction (Substance Use Disorder))
3601 16TH AVE SW
CEDAR RAPIDS, IA 52404
Linn County (319) 390-4611
GABREYL GAUBATZ
Case Manager/Care Coordinator
3601 16TH AVE SW
CEDAR RAPIDS, IA 52404
Linn County (319) 390-4611
STEPHANIE MARIE PIERCE BSW
Counselor (Addiction (Substance Use Disorder))
3601 16TH AVE SW
CEDAR RAPIDS, IA 52404
Linn County (319) 390-4611
JEN M SIMMEN
Counselor (Addiction (Substance Use Disorder))
3601 16TH AVE SW
CEDAR RAPIDS, IA 52404
Linn County (319) 390-4611

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 Stacy Mcdermott's NPI number?

The NPI number for Stacy Mcdermott is 1740090836. It was assigned to this individual provider in the NPPES registry on January 10, 2025.

Where is Stacy Mcdermott located?

Stacy Mcdermott practices at 3601 16th Ave SW, Cedar Rapids, IA 52404. The listed phone number is (319) 390-4611.

What is Stacy Mcdermott'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 Stacy Mcdermott was last updated on January 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.