Individual provider Active NPI

Teagan Nicole Honshell, PRS, CDCAI

  • Peer Specialist
  • Kettering, OH
National Provider Identifier
1528865425
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
APS.005715 Issued in OH
Practice address
3008 Sudbury Dr
Kettering, OH 45420-1129
Phone
(937) 310-1269
Fax
(937) 310-1199
NPI assigned
Feb 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CDCA.191471 OH
Peer Specialist 175T00000X APS.005715 OH Primary

Addresses

Primary practice location

3008 Sudbury Dr
Kettering, OH 45420-1129

Mailing address

3008 Sudbury Dr
Kettering, OH 45420-1129
Phone (937) 310-1269

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
CDCA.191471OHMDAddiction (Substance Use Disorder) Counselor
APS.005715OHMDPeer Specialist

NPI Registry JSON

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

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1528865425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3008 SUDBURY DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201129",
            "telephone_number": "937-310-1269",
            "fax_number": "937-310-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3008 SUDBURY DR",
            "city": "KETTERING",
            "state": "OH",
            "postal_code": "454201129",
            "telephone_number": "937-310-1269",
            "fax_number": "937-310-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONSHELL",
        "first_name": "TEAGAN",
        "middle_name": "NICOLE",
        "credential": "PRS, CDCAI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "CDCA.191471",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.005715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kettering, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; 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.