Individual provider Active NPI

Douglas Clayton Stover, ADC, CBCS, PRSS

  • Addiction (Substance Use Disorder) Counselor
  • Dunbar, WV
National Provider Identifier
1396487138
Registry record updated May 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1219 Stewart PLZ
Dunbar, WV 25064-3021
Phone
(304) 553-2034
NPI assigned
Apr 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X
Health Information Technician 247000000X P7L5E7P3 WV
Case Manager/Care Coordinator 171M00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1219 Stewart PLZ
Dunbar, WV 25064-3021

Mailing address

8296 Ohio River Rd
Lesage, WV 25537-9793
Phone (681) 378-3908

Other practice location 1

8296 Ohio River Rd
LeSage, WV 25537-9793
Phone (304) 963-6403

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
P7L5E7P3WVMDHealth Information Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Recoveryu CurrentSince May 4, 2025 Accepting new patients

Locations

1219 Stewart Plz
Dunbar, WV 25064
Phone (304) 553-2034

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1649721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746230400000",
    "number": "1396487138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8296 OHIO RIVER RD",
            "city": "LESAGE",
            "state": "WV",
            "postal_code": "255379793",
            "telephone_number": "681-378-3908",
            "fax_number": "304-759-8836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1219 STEWART PLZ",
            "city": "DUNBAR",
            "state": "WV",
            "postal_code": "250643021",
            "telephone_number": "304-553-2034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8296 Ohio River Rd",
            "address_purpose": "LOCATION",
            "city": "LeSage",
            "state": "WV",
            "postal_code": "255379793",
            "country_code": "US",
            "telephone_number": "304-963-6403",
            "fax_number": "304-759-8836",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STOVER",
        "first_name": "DOUGLAS",
        "middle_name": "CLAYTON",
        "name_prefix": "Mr.",
        "credential": "ADC, CBCS, PRSS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-12",
        "last_updated": "2025-05-03",
        "certification_date": "2025-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247000000X",
            "taxonomy_group": "",
            "desc": "Technician, Health Information",
            "state": "WV",
            "license": "P7L5E7P3",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunbar, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2025; 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.