Active NPI
Timothy Wills
- Peer Specialist
- Newark, OH
National Provider Identifier
1841108354
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Peer Specialist
- License
- APS.008265
- Practice address
- 112 S 3Rd St
Newark, OH 43055-5335 - Phone
- (740) 345-6874
- Fax
- (740) 345-5157
- NPI assigned
- Aug 28, 2026
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | APS.008265 | OH | Primary |
Addresses
Primary practice location
112 S 3Rd St
Newark, OH 43055-5335
Mailing address
112 S 3Rd St
Newark, OH 43055-5335
Phone (740) 345-6874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1841108354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 S 3RD ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430555335",
"telephone_number": "740-345-6874",
"fax_number": "740-345-5157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 S 3RD ST",
"city": "NEWARK",
"state": "OH",
"postal_code": "430555335",
"telephone_number": "740-345-6874",
"fax_number": "740-345-5157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLS",
"first_name": "TIMOTHY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-28",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "175T00000X",
"taxonomy_group": "",
"desc": "Peer Specialist",
"state": "OH",
"license": "APS.008265",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.