Ariana Gonzalez

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.006096 Issued in OH

Practice address

158 W Main St
Andover, OH 44003-9318

Phone

(440) 563-6524

NPI assigned

Jan 24, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Impact Recovery Services

  • Substance Abuse Rehabilitation Facility
  • Andover, OH
  • NPI 1306613823
  NPD
• Impact Recovery Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Andover, OH
  • NPI 1982535357
  NPD (past)

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1053123174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "158 W MAIN ST",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440039318",
            "telephone_number": "440-563-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 W MAIN ST",
            "city": "ANDOVER",
            "state": "OH",
            "postal_code": "440039318",
            "telephone_number": "440-563-6524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GONZALEZ",
        "first_name": "ARIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.006096",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelique Fenslage
• Georgios Filiadis, D.O.
• Evelyn Mag Freeman, LICENSED PRACTICAL N
• Barbara Marie Fusselman, INDEPENDENT PROVIDER
• Brent Frank Fusselman
• Saundra Marie Hicks, RN
• Kimberly Hunt
• Impact Recovery Services
• Impact Recovery Services
• Joseph Jackson, LCDC II

• Peer Specialist in Andover, OH
• Providers in Andover, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 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.