Becky Tucholski, PEER RECOVERY

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

004365 Issued in OH

Practice address

4930 Enterprise Dr NW
Warren, OH 44481-8706

Phone

(330) 787-0955

NPI assigned

Dec 2, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/thrivecounselingwarren/r4/
• FHIR API: https://api.qualifacts.org/api/fhir/parkmanrecovery/r4/

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.

• FSR of Parkman LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Warren, OH
  • NPI 1487168084
  NPD
• Thrive Counseling LLC

  • Mental Health Counselor
  • Warren, OH
  • NPI 1699246116
  NPD (past)

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1851996433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4930 ENTERPRISE DR NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444818706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4930 ENTERPRISE DR NW",
            "city": "WARREN",
            "state": "OH",
            "postal_code": "444818706",
            "telephone_number": "330-787-0955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCHOLSKI",
        "first_name": "BECKY",
        "credential": "PEER RECOVERY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "OH",
            "license": "170818",
            "primary": false
        },
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "004365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trumbull Urology Group Inc
• Thong Gia Truong, MD
• Genevieve Elaine Tryon, CRNP
• Tu-Dor Therapies, Inc
• Cierra Tuchek, CDCA
• Kaysha Tucker, LPN
• Mario Turner
• Lea Nicole Tursack, LPN
• Stephanie T Turuck, LPN
• Todd Michael Tuttle

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.