Active NPI
Phillip Lawrence Atkinson
- Peer Specialist
- Lorain, OH
National Provider Identifier
1386507010
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.007029
- Practice address
- 1939 Oberlin Ave
Lorain, OH 44052-3959 - Phone
- (440) 963-7042
- NPI assigned
- Dec 9, 2025
- Last updated
- Dec 9, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | APS.007029 | OH | Primary |
Addresses
Primary practice location
1939 Oberlin Ave
Lorain, OH 44052-3959
Mailing address
329 E 21St St
Lorain, OH 44052-3610
Phone (440) 714-7868
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
| License | State | Type | Specialty |
|---|---|---|---|
| APS.007029 | OH | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Let's Get Real, Inc. | Peer Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1765238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1386507010",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 E 21ST ST",
"city": "LORAIN",
"state": "OH",
"postal_code": "440523610",
"telephone_number": "440-714-7868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1939 OBERLIN AVE",
"city": "LORAIN",
"state": "OH",
"postal_code": "440523959",
"telephone_number": "440-963-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATKINSON",
"first_name": "PHILLIP",
"middle_name": "LAWRENCE",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-12-09",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.007029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lorain, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.