Scott Shorts, PEER RECOVERY SUPPOR

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

00656 Issued in OH

Practice address

1212 Tod PL NW
Warren, OH 44485-2475

Phone

(330) 469-6822

Fax

(330) 294-5641

NPI assigned

Jan 18, 2019

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/wecaremoreohio/r4/

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.

• Safe Harbor Recovery, LLC

  • Substance Abuse Rehabilitation Facility
  • Warren, OH
  • NPI 1437771870
  NPD
• First Step Recovery of Warren LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Warren, OH
  • NPI 1255736450
  NPD (past)
• First Step Recovery of Warren LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Warren, OH
  • NPI 1346120979
  NPD (past)

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

{
    "created_epoch": "1547769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690243200000",
    "number": "1407320849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1212",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444821212",
            "telephone_number": "330-469-6822",
            "fax_number": "330-294-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 TOD PL NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444852475",
            "telephone_number": "330-469-6822",
            "fax_number": "330-294-5641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 Parkman Rd NW",
            "address_purpose": "LOCATION",
            "city": "Warren",
            "state": "OH",
            "postal_code": "444851777",
            "country_code": "US",
            "telephone_number": "330-469-6822",
            "fax_number": "330-294-5641",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHORTS",
        "first_name": "SCOTT",
        "credential": "PEER RECOVERY SUPPOR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-18",
        "last_updated": "2023-07-25",
        "certification_date": "2023-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "00656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James L Shively II, CDCA
• Lauren Shivers, PHARMD
• Douglas Martin Shodd Sr., LMT
• Christine Shonk, QMHS
• Francine Shores, LPN
• Malia Showers
• Sterling Shriber II, MD
• Kathryn R. Shroder, PH.D.
• Patricia Coleen Shuba
• Michael A. Shumaker, D.O.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.