Elevating Potenial Outreach Services

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

ELEVATING POTENIAL OUTREACH SERVICES

Practice address

913 14TH Ave
Middletown, OH 45044-5722

Phone

(513) 532-6983

Fax

(513) 424-6288

NPI assigned

Dec 16, 2024

Organization subpart

No

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

Authorized official

Name

Angela Denise HolbrookNPI 1386445906

Title

Executive Director

Phone

(513) 532-6983

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Denise Holbrook

  • Peer Specialist
  • Middletown, OH
  • NPI 1386445906
  NPD Authorized official

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741910400000",
    "number": "1750198461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 14TH AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450445722",
            "telephone_number": "513-532-6983",
            "fax_number": "513-424-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 14TH AVE",
            "city": "MIDDLETOWN",
            "state": "OH",
            "postal_code": "450445722",
            "telephone_number": "513-532-6983",
            "fax_number": "513-424-6288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEVATING POTENIAL OUTREACH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-16",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A",
        "authorized_official_last_name": "HOLBROOK",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "513-532-6983"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David W Eberhardt, LMFT
• Molly J Edington
• Karen Kaiser Eifert, OTRL
• Taylor Eiford, DDS
• Elder Enrichment Center
• Diana Lynn Elkins
• Matthew Ellis, QMHS
• Jake Elmlinger, CNP
• Lee Elson
• Julie Ann Elzey, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.