Amber Peterson, CDCA

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

CDCA.176749 Issued in OH

Practice address

2737 Youngstown Rd SE
Warren, OH 44484-5002

Phone

(330) 369-8022

NPI assigned

Jun 22, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• First Step Recovery of Warren LLC

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

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

  Addiction (Substance Use Disorder)

  NPD
• Midwest Detox Center LLC

  dba Ohio Detox Center

  • Substance Abuse Rehabilitation Facility
  • Maumee, OH
  • NPI 1003337734
  NPD (past)
• Midwest Detox Center LLC

  dba Ohio Detox Center

  • Substance Abuse Rehabilitation Facility
  • Maumee, OH
  • NPI 1033608195
  NPD (past)
• Midwest Recovery Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toledo, OH
  • NPI 1407326366
  NPD (past)
• Midwest Recovery Center LLC

  dba Ohio Treatment Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Toledo, OH
  • NPI 1598242281
  NPD (past)
• Valor Recovery Center of Youngstown LLC

  dba Midwest Center of Youngstown

  • Substance Abuse Rehabilitation Facility
  • Austintown, OH
  • NPI 1366912933
  NPD (past)
• Valor Recovery Center of Youngstown LLC

  dba TruHealing Cincinnati

  • Substance Abuse Rehabilitation Facility
  • Cincinnati, OH
  • NPI 1598530701
  NPD (past)

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1487270872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2737 YOUNGSTOWN RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444845002",
            "telephone_number": "330-369-8022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2737 YOUNGSTOWN RD SE",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444845002",
            "telephone_number": "330-369-8022"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "45 N Canfield Niles Rd",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445152343",
            "country_code": "US",
            "telephone_number": "330-330-8777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETERSON",
        "first_name": "AMBER",
        "credential": "CDCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "173898",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.176749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0407650",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Frederick D Perry, DPM
• Jammie Diane Perry
• Shatela Renee Peterman
• Teriney Peterson-Lee
• Amanda Peterson
• Angela Maris Pettenati, MD
• Emily Pettitt
• Raven Simone Pew, RN
• Terry B Philibin, D.D.S., M.S.
• Phillip Maiden M.D.

• Addiction (Substance Use Disorder) Counselor in Warren, OH
• Providers in Warren, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.