Individual provider Active NPI

Karen Florence, C-CHW

  • Peer Specialist
  • Cleveland, OH
National Provider Identifier
1326677402
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
APS.001129 Issued in OH
Practice address
12200 Fairhill Road
C-349
Cleveland, OH 44120
Phone
(216) 336-5001
NPI assigned
Apr 2, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.172457 OH
Community Health Worker 172V00000X 001182 OH
Peer Specialist 175T00000X APS.001129 OH Primary

Addresses

Primary practice location

12200 Fairhill Road
C-349
Cleveland, OH 44120

Mailing address

12200 Fairhill Road
C-349
Cleveland, OH 44120
Phone (216) 336-5001

Other practice location 1

13377 Smith Rd
Middleburg Heights, OH 44130-7810
Phone (440) 340-5558

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

LicenseStateTypeSpecialty
CDCA.172457OHMDAddiction (Substance Use Disorder) Counselor
APS.001129OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Behavioral Health Center Inc Past Accepting new patients
Thrive Behavioral Health Center Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1585785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1326677402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12200 FAIRHILL ROAD",
            "address_2": "C-349",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44120",
            "telephone_number": "216-336-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12200 FAIRHILL ROAD",
            "address_2": "C-349",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "44120",
            "telephone_number": "216-336-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13377 Smith Rd",
            "address_purpose": "LOCATION",
            "city": "Middleburg Heights",
            "state": "OH",
            "postal_code": "441307810",
            "country_code": "US",
            "telephone_number": "440-340-5558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLORENCE",
        "first_name": "KAREN",
        "name_prefix": "Ms.",
        "credential": "C-CHW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-02",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.172457",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OH",
            "license": "001182",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.001129",
            "primary": true
        }
    ],
    "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 Oct 15, 2024; 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.