Individual provider Active NPI

Johany Elizabeth Cortorreal, CRPA NYCPS FPA

  • Peer Specialist
  • Woburn, MA
National Provider Identifier
1497522528
Registry record updated Feb 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
NYCPS-P5763 Issued in NY
Practice address
980 Main St Apt 34
Woburn, MA 01801-1243
Phone
(646) 306-0562
NPI assigned
Dec 8, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X MA
Case Manager/Care Coordinator 171M00000X MA
Community Health Worker 172V00000X MA
Peer Specialist 175T00000X NYCPS-P5763 NY Primary
Doula 374J00000X MA
Addiction (Substance Use Disorder) Counselor 101YA0400X NY

Addresses

Primary practice location

980 Main St Apt 34
Woburn, MA 01801-1243

Mailing address

980 Main St Apt 34
Woburn, MA 01801-1243
Phone (646) 306-0562

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

LicenseStateTypeSpecialty
NYCPS-P5763NYMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Odyssey House, Inc CurrentSince Jan 19, 2025 Accepting new patients
Shortreal Healing Care Case Manager/Care Coordinator Current Accepting new patients
Odyssey House, Inc. PastSince May 19, 2024 Accepting new patients

Locations

953 Southern Blvd
Rm 301
Bronx, NY 10459
Phone (212) 361-1619

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1701993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771372800000",
    "number": "1497522528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 MAIN ST APT 34",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011243",
            "telephone_number": "646-306-0562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 MAIN ST APT 34",
            "city": "WOBURN",
            "state": "MA",
            "postal_code": "018011243",
            "telephone_number": "646-306-0562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORTORREAL",
        "first_name": "JOHANY",
        "middle_name": "ELIZABETH",
        "credential": "CRPA NYCPS FPA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-08",
        "last_updated": "2026-02-18",
        "certification_date": "2026-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NY",
            "license": "NYCPS-P5763",
            "primary": true
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": "MA",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woburn, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2026; 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.