Active NPI
Darnella Nyeisha Wilson
- Peer Specialist
- Cleveland, OH
National Provider Identifier
1255125977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 005555
- Practice address
- 824 E 95TH St # a
Cleveland, OH 44108-2134 - Phone
- (440) 990-7793
- NPI assigned
- Apr 7, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 005555 | OH | Primary |
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
824 E 95TH St # a
Cleveland, OH 44108-2134
Mailing address
824 E 95TH St # a
Cleveland, OH 44108-2134
Phone (440) 990-7793
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 |
|---|---|---|---|
| 005555 | OH | MD | Peer Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743984000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770249600000",
"number": "1255125977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 E 95TH ST # A",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441082134",
"telephone_number": "440-990-7793"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 E 95TH ST # A",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441082134",
"telephone_number": "440-990-7793"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILSON",
"first_name": "DARNELLA",
"middle_name": "NYEISHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-07",
"last_updated": "2026-02-05",
"certification_date": "2026-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "005555",
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cleveland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.