Organization Active NPI

Peer Solutions Recovery Ohio, LLC

  • Multi-Specialty Clinic/Center
  • Marietta, OH
National Provider Identifier
1366294456
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
PEER SOLUTIONS RECOVERY OHIO, LLC
Practice address
1017 Pike St
Marietta, OH 45750-3522
Phone
(740) 371-7007
NPI assigned
Apr 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

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

Authorized official

Name
Meriah Walters
Title
Credentialing Specialist
Phone
(740) 371-7007

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1017 Pike St
Marietta, OH 45750-3522

Mailing address

1017 Pike St
Marietta, OH 45750-3522
Phone (740) 371-7007

National Provider Directory

National Provider Directory
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.

Locations

1017 Pike St
Marietta, OH 45750
Phone (304) 239-5355

NPI Registry JSON

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1366294456",
    "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": "740-371-7007"
        },
        {
            "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": "740-371-7007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEER SOLUTIONS RECOVERY OHIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "WALTERS",
        "authorized_official_first_name": "MERIAH",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "740-371-7007"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.