Individual provider Active NPI

Allyson Scarberry

  • Behavior Technician
  • Toledo, OH
National Provider Identifier
1154039998
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
5734 Douglas Rd
Toledo, OH 43613-2038
Phone
(419) 724-1500
NPI assigned
Nov 10, 2022
Last updated
Nov 10, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X NU Primary

Addresses

Primary practice location

5734 Douglas Rd
Toledo, OH 43613-2038

Mailing address

5734 Douglas Rd
Toledo, OH 43613-2038
Phone (419) 724-1500

Other identifiers 1

IdentifierTypeStateIssuer
UNKNOWNOtherOHNONE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL JENFACKELMAN@apeaceofmindwellness.com Direct

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

Practice roles

OrganizationSpecialtyStatusNew patients
A Peace of Mind Wellness LLC CurrentSince Nov 13, 2022 Accepting new patients
A Peace of Mind Wellness LLC CurrentSince Nov 13, 2022 Accepting new patients

Locations

5734 Douglas Rd
Toledo, OH 43613
Phone (419) 472-1500

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1154039998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5734 DOUGLAS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436132038",
            "telephone_number": "419-724-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5734 DOUGLAS RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436132038",
            "telephone_number": "419-724-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARBERRY",
        "first_name": "ALLYSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "UNKNOWN",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "JENFACKELMAN@apeaceofmindwellness.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5734 Douglas Rd",
            "city": "Toledo",
            "state": "OH",
            "country_code": "US",
            "postal_code": "436132038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.