Angela Denise Holbrook

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.004928 Issued in OH

Practice address

913 14TH Ave
Middletown, OH 45044-5722

Phone

(513) 571-2985

Fax

(513) 424-6288

NPI assigned

Mar 20, 2025

Sex

Female

Sole proprietor

No

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.

• Elevating Potenial Outreach Services

  • Peer Specialist
  • Middletown, OH
  • NPI 1750198461
  NPD Authorized official

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

{
    "created_epoch": "1742428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1386445906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 14TH AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450445722",
            "telephone_number": "513-571-2985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 14TH AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450445722",
            "telephone_number": "513-571-2985",
            "fax_number": "513-424-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOK",
        "first_name": "ANGELA",
        "middle_name": "DENISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-20",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.004928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Lynn Hodge
• Tierra Dawn Hodge, CDCA 1
• Michele Walton Hoehn
• Ronald J Hoehn, PT
• Kelly M Hoffman, PHARMD
• Kaitlyn Elizabeth Holiga, PA-C
• Holistically Tailored Wellness Center
• Heather M. Holland, L.P.C.C.
• Keri N Hollencamp, CNP
• Barbara Holley Profitt

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2025; 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.