Active NPI
Shane Mares
- Peer Specialist
- Akron, OH
National Provider Identifier
1700751674
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- 006465
- Practice address
- 834 Grant St
Akron, OH 44311-2136 - Phone
- (330) 253-8803
- NPI assigned
- Oct 9, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 006465 | OH | Primary |
Addresses
Primary practice location
834 Grant St
Akron, OH 44311-2136
Mailing address
834 Grant St
Akron, OH 44311-2136
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 |
|---|---|---|---|
| 006465 | OH | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community of Christ Church, Inc | Current | Accepting new patients | |
| Community of Christ Church, Inc | Past | Accepting new patients |
Locations
834 Grant St
Akron, OH 44311
Phone (330) 253-8803
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.
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1356120505
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1073043782
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1700751674",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "834 GRANT ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443112136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "834 GRANT ST",
"city": "AKRON",
"state": "OH",
"postal_code": "443112136",
"telephone_number": "330-253-8803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARES",
"first_name": "SHANE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-10-09",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "006465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Akron, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.