Karesia London, PEER SUPPORT SPECIAL

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

750 Wilbur Ave
Youngstown, OH 44502-2359

Phone

(330) 775-8892

NPI assigned

Feb 22, 2021

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

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1871187740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 WILBUR AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022359",
            "telephone_number": "330-775-8892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 WILBUR AVE",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445022359",
            "telephone_number": "330-775-8892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONDON",
        "first_name": "KARESIA",
        "credential": "PEER SUPPORT SPECIAL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-22",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "0002240",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prentise Leslie Logan, CERTIFIED HAIR LOSS
• Rebekah Logsdon
• Brandy Lolakis
• Adam Lonardo
• Laura J. Lonardo
• Chacara Long
• Elisa Marie Long, CDCA
• Michell Lyn Long, LSW
• Taylor Marie Long
• Heather Loper

• Personal Care Attendant in Youngstown, OH
• Providers in Youngstown, OH by specialty
• Personal Care Attendant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 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.