Active NPI
Darryl Keith Lanier Jr.
- Peer Specialist
- Green Springs, OH
National Provider Identifier
1144020140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.005036
- Practice address
- 430 N Broadway St
Green Springs, OH 44836-9734 - Phone
- (419) 307-9128
- NPI assigned
- Mar 18, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.194383 | OH | |
| Peer Specialist | 175T00000X | APS.005036 | OH | Primary |
Addresses
Primary practice location
430 N Broadway St
Green Springs, OH 44836-9734
Mailing address
213 Buckeye Blvd Apt 5
Port Clinton, OH 43452-1467
Phone (419) 603-0867
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
| License | State | Type | Specialty |
|---|---|---|---|
| CDCA.194383 | OH | MD | Addiction (Substance Use Disorder) Counselor |
| APS.005036 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1144020140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 BUCKEYE BLVD APT 5",
"city": "PORT CLINTON",
"state": "OH",
"postal_code": "434521467",
"telephone_number": "419-603-0867"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 N BROADWAY ST",
"city": "GREEN SPRINGS",
"state": "OH",
"postal_code": "448369734",
"telephone_number": "419-307-9128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANIER",
"first_name": "DARRYL",
"middle_name": "KEITH",
"name_suffix": "Jr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-03-18",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.194383",
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.005036",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Green Springs, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.