Lisa A Peters

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

S.1100597 Issued in OH

Practice address

365 S Portage Path
Akron, OH 44320-2325

Phone

(330) 253-4597

Fax

(330) 762-5571

NPI assigned

May 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Vantage Aging

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Akron, OH
  • NPI 1548222656
  NPD (past)

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

{
    "created_epoch": "1338422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338422400000",
    "number": "1073874582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 S PORTAGE PATH",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443202327",
            "telephone_number": "330-253-4597",
            "fax_number": "330-762-5571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 S PORTAGE PATH",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443202325",
            "telephone_number": "330-253-4597",
            "fax_number": "330-762-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "LISA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-31",
        "last_updated": "2012-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "S.1100597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9277202",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Bryan L Peters, REV
• Ed R Peters, BA
• Jessica Peters
• Kristen Peters, BCBA, MA
• Leon Peters
• McKenna Peters, RD,LD
• Michelle Marie Peters, RN
• Patricia Peters
• Tara Peters, MSW, LISW-S
• Tyler Joel Peters, PA-C

• Addiction (Substance Use Disorder) Counselor in Akron, OH
• Providers in Akron, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2012; 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.