JARED PECK NPI 1497267116

NPI Information

NPI: 1497267116
Provider Name: JARED PECK
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
2624 LEXINGTON AVE
SPRINGFIELD, OH
ZIP 45505
Phone: (937) 328-5300
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Jared Peck is a peer specialist in Springfield, OH. The provider is 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. Jared Peck NPI is 1497267116. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2624 LEXINGTON AVE
SPRINGFIELD, OH
ZIP 45505
Phone: (937) 328-5300
Fax: (937) 322-4900

The enumeration date for this NPI number is 11/3/2017 and was last updated on 10/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist		00678	OHIO	Yes
2	171M00000X	Case Manager/Care Coordinator		CDCA.164909	OHIO	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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