Corey Nicholas Crothers – Peer Specialist

Key facts

NPI: 1629938014
Entity type: Individual (NPI type 1)
Primary specialty: Peer Specialist 175T00000X
Practice address: 2727 S 3Rd St
Ironton, OH 45638-2760
Phone: (740) 534-2100
NPI assigned: Nov 17, 2025
Sex: Male
Sole proprietor: Yes

Organizations & group practices 2

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.

Bethesda Services LLC Community/Behavioral Health Agency · Ironton, OH · NPI 1790586444

NPD
Bethesda Services LLC Addiction (Substance Use Disorder) Counselor · Ironton, OH · NPI 1992392005

NPD

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): No

Practice roles

Organization	Specialty	Status	New patients
Bethesda Services LLC		Current since Nov 24, 2025	Accepting new patients
Bethesda Services LLC		Current since Nov 24, 2025	Accepting new patients

Locations

2727 S 3rd St
Ironton, OH 45638
Phone (740) 534-2100

Interoperability endpoints

FHIR API: https://api.qualifacts.org/api/fhir/bethesdaservicesllc/r4/

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Peer Specialist	175T00000X			Yes

Addresses

Primary practice location

2727 S 3Rd St
Ironton, OH 45638-2760

Mailing address

2727 S 3Rd St
Ironton, OH 45638-2760
Phone (740) 534-2100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 16, 2025.

{
    "created_epoch": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1629938014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382760",
            "telephone_number": "740-534-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 S 3RD ST",
            "city": "IRONTON",
            "state": "OH",
            "postal_code": "456382760",
            "telephone_number": "740-534-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROTHERS",
        "first_name": "COREY",
        "middle_name": "NICHOLAS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-17",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ironton, OH

All providers in Ironton, OH · Peer Specialist in Ohio

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2025. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.