Active NPI
Tricia D Jones, PRS
- Peer Specialist
- Canton, OH
National Provider Identifier
1821854936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.004861
- Practice address
- 625 Cleveland Ave NW
Canton, OH 44702-1805 - Phone
- (330) 445-2677
- Fax
- (330) 445-2101
- NPI assigned
- Feb 26, 2024
- Sex
- Female
- Sole proprietor
- No
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 | APS.004861 | OH | Primary |
Addresses
Primary practice location
625 Cleveland Ave NW
Canton, OH 44702-1805
Mailing address
625 Cleveland Ave NW
Canton, OH 44702-1805
Phone (330) 455-0374
Other practice location 1
1341 Market Ave N
Canton, OH 44714-2605
Phone (330) 453-8252
Other practice location 2
1711 Spring Ave NE
Canton, OH 44714-2349
Phone (330) 455-0374
Other practice location 3
2600 Sixth St SW
Canton, OH 44710-1702
Phone (330) 830-3393
Other practice location 4
1207 W State St Ste M
Alliance, OH 44601-4686
Phone (330) 821-8407
Other practice location 5
1680 Nave Rd SE
Massillon, OH 44646-9604
Phone (330) 830-8740
Other practice location 6
601 Cleveland Ave NW
Canton, OH 44702-1836
Phone (330) 455-0374
Other practice location 7
130 1st St NW # Nnw
Massillon, OH 44647-5452
Phone (330) 833-0234
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 |
|---|---|---|---|
| APS.004861 | OH | MD | Peer Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commquest Services, Inc. | Past | Accepting new patients | |
| Commquest Services, Inc. | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
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.
-
- Multi-Specialty Clinic/Center
- Canton, OH
- NPI 1730168311
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Canton, OH
- NPI 1841550696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708905600000",
"number": "1821854936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 CLEVELAND AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447021805",
"telephone_number": "330-455-0374",
"fax_number": "330-453-6716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 CLEVELAND AVE NW",
"city": "CANTON",
"state": "OH",
"postal_code": "447021805",
"telephone_number": "330-445-2677",
"fax_number": "330-445-2101"
}
],
"practiceLocations": [
{
"address_1": "1341 Market Ave N",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447142605",
"country_code": "US",
"telephone_number": "330-453-8252",
"fax_number": "330-452-4655",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1711 Spring Ave NE",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447142349",
"country_code": "US",
"telephone_number": "330-455-0374",
"fax_number": "330-588-7176",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2600 Sixth St SW",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447101702",
"country_code": "US",
"telephone_number": "330-830-3393",
"fax_number": "234-521-7091",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1207 W State St Ste M",
"address_purpose": "LOCATION",
"city": "Alliance",
"state": "OH",
"postal_code": "446014686",
"country_code": "US",
"telephone_number": "330-821-8407",
"fax_number": "330-821-8506",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1680 Nave Rd SE",
"address_purpose": "LOCATION",
"city": "Massillon",
"state": "OH",
"postal_code": "446469604",
"country_code": "US",
"telephone_number": "330-830-8740",
"fax_number": "330-830-0912",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "601 Cleveland Ave NW",
"address_purpose": "LOCATION",
"city": "Canton",
"state": "OH",
"postal_code": "447021836",
"country_code": "US",
"telephone_number": "330-455-0374",
"fax_number": "330-453-6716",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "130 1st St NW # Nnw",
"address_purpose": "LOCATION",
"city": "Massillon",
"state": "OH",
"postal_code": "446475452",
"country_code": "US",
"telephone_number": "330-833-0234",
"fax_number": "330-837-7705",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "TRICIA",
"middle_name": "D",
"credential": "PRS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-26",
"last_updated": "2024-02-26",
"certification_date": "2024-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.004861",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Canton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 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.