Brandon Penix

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.005030 Issued in OH

Practice address

29201 Aurora Rd Ste 400
Solon, OH 44139-1846

Phone

(216) 220-8774

Fax

(216) 220-3204

NPI assigned

Dec 7, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Moving Forward Residential LLC

  • Community/Behavioral Health Agency
  • MC Dermott, OH
  • NPI 1811767684
  NPD (past)
• Moving Forward Residential LLC

  • Community/Behavioral Health Agency
  • MC Dermott, OH
  • NPI 1871016691
  NPD (past)
• Thrive Behavioral Health Center

  • Adult Mental Health Clinic/Center
  • Solon, OH
  • NPI 1174066096
  NPD (past)
• Thrive Behavioral Health Center Inc

  • Recovery Care Clinic/Center
  • Solon, OH
  • NPI 1790206613
  NPD (past)

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

{
    "created_epoch": "1701907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1336916592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29201 AURORA RD STE 400",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441391846",
            "telephone_number": "216-220-8774",
            "fax_number": "216-220-3204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29201 AURORA RD STE 400",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441391846",
            "telephone_number": "216-220-8774",
            "fax_number": "216-220-3204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENIX",
        "first_name": "BRANDON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-07",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.005030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheila S. Paul, D.O.
• Peaks and Valleys Counseling LLC
• Stefanie Peck, M.A. CCC-SLP
• Pediatric & Adolescent Care Inc
• Pediatric Associates Inc
• Dana Perkins, ED.S, RSM, RPO
• Fatima K Perkins, MSLIS,MNO
• Frances Perkins
• Carlee Perrin, LPC
• Perry Epstein Corp.

• Peer Specialist in Solon, OH
• Providers in Solon, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.