Alice M Chevalier

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS004101 Issued in OH

Practice address

3330 Glendale Ave
Toledo, OH 43614-2425

Phone

(419) 242-9955

NPI assigned

May 22, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Tasc of Northwest Ohio

  • Community/Behavioral Health Agency
  • Toledo, OH
  • NPI 1548538143
  NPD
• Tasc of Northwest Ohio

  • Case Management Agency
  • Toledo, OH
  • NPI 1922171677
  NPD

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

{
    "created_epoch": "1684713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684713600000",
    "number": "1528750247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "539 STARR AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436052309",
            "telephone_number": "419-975-3527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 GLENDALE AVE",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436142425",
            "telephone_number": "419-242-9955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEVALIER",
        "first_name": "ALICE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-22",
        "last_updated": "2023-05-22",
        "certification_date": "2023-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS004101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iana Chernysheva, MD
• Cherry Street Mission Ministries
• Jill Renee Cherry-Bukowiec, MD
• Jennifer Ann Cherry
• Olean Roshonda Cherry
• CHI Living Communities
• CHI Living Communities
• CHI Living Communities
• CHI Living Communities
• CHI Living Communities

• Peer Specialist in Toledo, OH
• Providers in Toledo, OH by specialty
• Peer Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.

Verify at the official NPI Registry.