Active NPI
Phyllis Stephanie Honore
- Peer Specialist
- Maple Heights, OH
National Provider Identifier
1104747070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 21607 Kenyon Dr
Maple Heights, OH 44137-2458 - Phone
- (216) 324-7722
- NPI assigned
- Jul 24, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | OH | Primary |
Addresses
Primary practice location
21607 Kenyon Dr
Maple Heights, OH 44137-2458
Mailing address
21607 Kenyon Dr
Maple Heights, OH 44137-2458
Phone (216) 324-7722
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008199 | Other | OH | CERTIFICATION NUMBER PEER SUPPORT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1784851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1784851200000",
"number": "1104747070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21607 KENYON DR",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441372458",
"telephone_number": "216-324-7722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21607 KENYON DR",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441372458",
"telephone_number": "216-324-7722"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HONORE",
"first_name": "PHYLLIS",
"middle_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-07-24",
"last_updated": "2026-07-24",
"certification_date": "2026-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": "OH",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFICATION NUMBER PEER SUPPORT",
"identifier": "008199",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Maple Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 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.