Active NPI
Craig Dunson, CDCA, PRS
- Peer Specialist
- Cleveland Heights, OH
National Provider Identifier
1477051266
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- Practice address
- 2490 Lee Blvd Ste 219
Cleveland Heights, OH 44118 - Phone
- (216) 600-5194
- NPI assigned
- Jan 26, 2018
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Peer Specialist | 175T00000X | Primary |
Addresses
Primary practice location
2490 Lee Blvd Ste 219
Cleveland Heights, OH 44118
Mailing address
12600 Willard Ave
Garfield HTS, OH 44125-3628
Phone (216) 659-1916
Other practice location 1
2500 Metrohealth Dr
Cleveland, OH 44109-1900
Phone (216) 386-0418
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifeworks Behavioral Health LLC | Mental Health (Including Community Mental Health Center) | Current | Accepting new patients |
| Lifeworks Behavioral Health LLC | Addiction (Substance Use Disorder) | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Cleveland, OH
- NPI 1447758230
Addiction (Substance Use Disorder)
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cleveland, OH
- NPI 1750027538
Mental Health (Including Community Mental Health Center)
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1516924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673308800000",
"number": "1477051266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12600 WILLARD AVE",
"city": "GARFIELD HTS",
"state": "OH",
"postal_code": "441253628",
"telephone_number": "216-659-1916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2490 LEE BLVD STE 219",
"city": "CLEVELAND HEIGHTS",
"state": "OH",
"postal_code": "44118",
"telephone_number": "216-600-5194"
}
],
"practiceLocations": [
{
"address_1": "2500 Metrohealth Dr",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "441091900",
"country_code": "US",
"telephone_number": "216-386-0418",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUNSON",
"first_name": "CRAIG",
"credential": "CDCA, PRS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-26",
"last_updated": "2023-01-10",
"certification_date": "2023-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.