Active NPI
Sherron Peacock
- Addiction (Substance Use Disorder) Counselor
- Toledo, OH
National Provider Identifier
1831698257
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 830 N Summit St Ste 2
Toledo, OH 43604-1884 - Phone
- (419) 693-9600
- NPI assigned
- Feb 12, 2018
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
830 N Summit St Ste 2
Toledo, OH 43604-1884
Mailing address
2556 Fulton St
Toledo, OH 43610-1564
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 160367 | Other | OH | CHEMICAL DEPENDENCY BOARD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1518393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518393600000",
"number": "1831698257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2556 FULTON ST",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436101564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 N SUMMIT ST STE 2",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041884",
"telephone_number": "419-693-9600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEACOCK",
"first_name": "SHERRON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-12",
"last_updated": "2018-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHEMICAL DEPENDENCY BOARD",
"identifier": "160367",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.