John Roger Matthews II, PEER SPECIALIST

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

APS.005070 Issued in OH

Practice address

241 Paddock CT Ste 3
Delaware, OH 43015-1370

Phone

(419) 946-5900

NPI assigned

Sep 9, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• The Group of Delaware County

  dba Safe Harbor Peer Support Services

  • Community/Behavioral Health Agency
  • Delaware, OH
  • NPI 1922868777
  NPD

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

{
    "created_epoch": "1725840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1982430864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 PADDOCK CT STE 3",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151370",
            "telephone_number": "419-946-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 PADDOCK CT STE 3",
            "city": "DELAWARE",
            "state": "OH",
            "postal_code": "430151370",
            "telephone_number": "419-946-5900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4046 Township Road 246",
            "address_purpose": "LOCATION",
            "city": "Edison",
            "state": "OH",
            "postal_code": "433209799",
            "country_code": "US",
            "telephone_number": "419-946-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATTHEWS",
        "first_name": "JOHN",
        "middle_name": "ROGER",
        "name_suffix": "II",
        "credential": "PEER SPECIALIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-09-09",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.005070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy L Martin, M.A., CCC-SLP
• Maryhaven Inc
• Natalie Taylor Massa Wallace, DDS
• Ashley M Matchack, LPN
• Amy Mattern, D.O.
• Mattmo Outreach Residential Serivces
• Teresa Marie Matzke, FNP
• Rebecca Mauer
• Karen Ruth Mayer, RN, LPCC
• Kathleen Maynard

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.