Organization Active NPI

Timeshervedrecoveryllc

  • Peer Specialist
  • Warren, OH
National Provider Identifier
1508778929
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
TIMESHERVEDRECOVERYLLC
Practice address
629 3Rd St SW
Warren, OH 44483-6421
Phone
(330) 984-1108
NPI assigned
Sep 21, 2026
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Bryan Lyton, LCDC 2
Title
Clinical Director
Phone
(330) 842-1788

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X NU
Community Health Worker 172V00000X NU
Case Manager/Care Coordinator 171M00000X NU
Peer Specialist 175T00000X NU Primary

Addresses

Primary practice location

629 3Rd St SW
Warren, OH 44483-6421

Mailing address

629 3Rd St SW
Warren, OH 44483-6421
Phone (330) 984-1108

NPI Registry JSON

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

{
    "created_epoch": "1789948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1508778929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "629 3RD ST SW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836421",
            "telephone_number": "330-984-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 3RD ST SW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444836421",
            "telephone_number": "330-984-1108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMESHERVEDRECOVERYLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-21",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "LYTON",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "330-842-1788",
        "authorized_official_credential": "LCDC 2"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "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 Warren, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.