Courtney Sanderson, PEER SUPPORTER

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

190712 Issued in OH

Practice address

1400 US RT 22 NW
Washington Court House, OH 43160-8604

Phone

(740) 463-1156

NPI assigned

Oct 18, 2024

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752624000000",
    "number": "1730900143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MOON RD",
            "city": "GREENFIELD",
            "state": "OH",
            "postal_code": "451239306",
            "telephone_number": "740-463-1156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 US RT 22 NW",
            "city": "WASHINGTON COURT HOUSE",
            "state": "OH",
            "postal_code": "431608604",
            "telephone_number": "740-463-1156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDERSON",
        "first_name": "COURTNEY",
        "credential": "PEER SUPPORTER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-18",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.005381",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "190712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert L. Fierman DPM
• Sarah Robinette, RN
• Jayna Elise Rogers, OTR/L
• Terin Jade Rowe, CNP
• Cheryl L. Royster, LISW-S
• Julie Jo Sayre
• Gregory William Schall, D.O.
• Tina Louise Scharenberg, BS IN HUMAN SERVICES
• Amber Lynn Schiller
• Eric L Schirm, RPH

• Addiction (Substance Use Disorder) Counselor in Washington Court House, OH
• Providers in Washington Court House, OH by specialty
• Addiction (Substance Use Disorder) Counselor in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.