Individual provider Active NPI

D'Aundre Trent Glover, PRSS

  • Peer Specialist
  • Pleasant Valley, WV
National Provider Identifier
1083585723
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
25-914SUD Issued in WV
Practice address
100 Crosswind Dr
Pleasant Valley, WV 26554-9162
Phone
(304) 296-1731
NPI assigned
Sep 16, 2025
Last updated
Jun 3, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X 25-914SUD WV Primary

Addresses

Primary practice location

100 Crosswind Dr
Pleasant Valley, WV 26554-9162

Mailing address

301 Scott Ave
Morgantown, WV 26508-8804
Phone (304) 296-1731

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
25-914SUDWVMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Comprehensive Community Mental Health Center, Inc. CurrentSince Sep 21, 2025 Accepting new patients
Valley Comprehensive Community Mental Health Center PastSince Sep 21, 2025 Accepting new patients

Locations

301 Scott Ave
Morgantown, WV 26508

100 Crosswind Dr
Pleasant Valley, WV 26554
Phone (304) 225-2280

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1083585723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 SCOTT AVE",
            "city": "MORGANTOWN",
            "state": "WV",
            "postal_code": "265088804",
            "telephone_number": "304-296-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CROSSWIND DR",
            "city": "PLEASANT VALLEY",
            "state": "WV",
            "postal_code": "265549162",
            "telephone_number": "304-296-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLOVER",
        "first_name": "D'AUNDRE",
        "middle_name": "TRENT",
        "name_prefix": "Mr.",
        "credential": "PRSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-16",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "25-914SUD",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Valley, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.