Peer Solutions Recovery Ohio, LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

PEER SOLUTIONS RECOVERY OHIO, LLC

Practice address

1017 Pike St
Marietta, OH 45750-3522

Phone

(740) 856-1084

NPI assigned

Aug 10, 2023

Organization subpart

No

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

Authorized official

Name

Meriah Walters

Title

Credentialing Agent

Phone

(740) 856-1084

Specialties & licenses 2

Addresses

Tax ID family

Peer Solutions Recovery Ohio LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peer Solutions Recovery Ohio, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, OH
  • NPI 1366294456
  NPD tax ID

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1346923992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1017 PIKE ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503522",
            "telephone_number": "740-856-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1017 PIKE ST",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457503522",
            "telephone_number": "740-856-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEER SOLUTIONS RECOVERY OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "MERIAH",
        "authorized_official_title_or_position": "CREDENTIALING AGENT",
        "authorized_official_telephone_number": "740-856-1084"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shinoj Pattali Jayavalsan, M.D
• Austin M Patterson, DO
• Monica Nichols Paxton, RPH
• Gharanai Abdul Payind, MD
• Matthew Richard Peck, MD
• Peer Solutions Recovery Ohio, LLC
• Brian P. Peppel, PA
• Brittany Lynn Peppel, PA-C
• Andrew Perna
• Alaina Perry, D.M.D.

• Substance Use Disorder Rehabilitation Clinic/Center in Marietta, OH
• Providers in Marietta, OH by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.