Individual provider Active NPI

Patrick Casey Lennon

  • Peer Specialist
  • Burton, OH
National Provider Identifier
1821602566
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
APS.003500 Issued in OH
Practice address
14707 S Cheshire St
Burton, OH 44021-9601
Phone
(440) 887-1100
Fax
(440) 887-1103
NPI assigned
Sep 1, 2020
Last updated
Jul 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X OH
Peer Specialist 175T00000X APS.003500 OH Primary

Addresses

Primary practice location

14707 S Cheshire St
Burton, OH 44021-9601

Mailing address

13993 Sweetbriar LN
Novelty, OH 44072-9716
Phone (440) 223-3682

Other practice location 1

13993 Sweetbriar Ln
Novelty, OH 44072-9716
Phone (440) 223-3682

Other practice location 2

6900 Ridge Rd
Parma, OH 44129-5650
Phone (440) 887-1100 ext. 243

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
APS.003500OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
McIntyre Center Inc. CurrentSince Nov 1, 2024 Accepting new patients
McIntyre Center Inc. PastSince Jul 7, 2024 Accepting new patients

Locations

14707 S Cheshire St
Burton, OH 44021
Phone (440) 887-1100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1821602566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13993 SWEETBRIAR LN",
            "city": "NOVELTY",
            "state": "OH",
            "postal_code": "440729716",
            "telephone_number": "440-223-3682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14707 S CHESHIRE ST",
            "city": "BURTON",
            "state": "OH",
            "postal_code": "440219601",
            "telephone_number": "440-887-1100",
            "fax_number": "440-887-1103"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13993 Sweetbriar Ln",
            "address_purpose": "LOCATION",
            "city": "Novelty",
            "state": "OH",
            "postal_code": "440729716",
            "country_code": "US",
            "telephone_number": "440-223-3682",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6900 Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Parma",
            "state": "OH",
            "postal_code": "441295650",
            "country_code": "US",
            "telephone_number": "440-887-1100 x243",
            "fax_number": "440-887-1103",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LENNON",
        "first_name": "PATRICK",
        "middle_name": "CASEY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.003500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.