Active NPI
Johany Elizabeth Cortorreal, CRPA NYCPS FPA
- Peer Specialist
- Woburn, MA
National Provider Identifier
1497522528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- NYCPS-P5763
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| NYCPS-P5763 | NY | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Odyssey House, Inc | Current | Accepting new patients | |
| Shortreal Healing Care | Case Manager/Care Coordinator | Current | Accepting new patients |
| Odyssey House, Inc. | Past | 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.
-
- Community Health Worker
- Woburn, MA
- NPI 1538012505
Case Manager/Care Coordinator
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Bronx, NY
- NPI 1013976976
-
- Community/Behavioral Health Agency
- Bronx, NY
- NPI 1811351307
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.