Active NPI
Angela L Merriweather, CDCA PEER SPECIALIST
- Peer Specialist
- Garfield HTS, OH
National Provider Identifier
1407322886
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 8235 Green Dr
Garfield HTS, OH 44125-2057 - Phone
- (216) 269-7643
- NPI assigned
- Oct 23, 2018
- Last updated
- Nov 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CDCA.186659 | OH | |
| Case Manager/Care Coordinator | 171M00000X | NU | ||
| Peer Specialist | 175T00000X | NU | Primary |
Addresses
Primary practice location
8235 Green Dr
Garfield HTS, OH 44125-2057
Mailing address
600 Superior Ave E
Cleveland, OH 44114-2614
Phone (216) 220-8774
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 |
|---|---|---|---|
| CDCA.186659 | OH | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| People Places and Dreams | Current | Accepting new patients | |
| Delilalas Home | Current | Accepting new patients | |
| Redirections Restorer's of Faith Program | Current | Accepting new patients |
Interoperability endpoints
- https://api.qualifacts.org/api/fhir/peopleplacesanddreams/r4/
Organizations & group practices 3
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.
-
- Community Health Clinic/Center
- Cleveland, OH
- NPI 1548864689
-
- Case Management Agency
- Cleveland, OH
- NPI 1306667571
-
- Community/Behavioral Health Agency
- Cleveland, OH
- NPI 1942804067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1407322886",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 SUPERIOR AVE E",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441142614",
"telephone_number": "216-220-8774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8235 GREEN DR",
"city": "GARFIELD HTS",
"state": "OH",
"postal_code": "441252057",
"telephone_number": "216-269-7643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRIWEATHER",
"first_name": "ANGELA",
"middle_name": "L",
"credential": "CDCA PEER SPECIALIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-23",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "OH",
"license": "CDCA.186659",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garfield HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.