Jared Peck
Peer Specialist · Springfield, OH
Practice location
2624 Lexington AveSpringfield, OH 45505
- Phone
- (937) 328-5300
- Fax
- (937) 322-4900
NPI record
- NPI
- 1497267116
- Entity type
- Individual (Type 1)
- Enumeration date
- November 3, 2017
- Last updated
- October 4, 2019
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X |
00678 | OH |
| Case Manager/Care Coordinator | 171M00000X |
CDCA.164909 | OH |
Mailing address
2624 Lexington AveSpringfield, OH 45505-2620
- Phone
- (937) 328-5300
- Fax
- (937) 322-4900
About Jared Peck
Jared Peck is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 2624 Lexington Ave, Springfield, OH 45505. The NPI number 1497267116 was assigned on November 3, 2017 and the record was last updated on October 4, 2019.
Jared Peck lists 2 licenses in the registry: #00678 (OH) for Peer Specialist; #CDCA.164909 (OH) for Case Manager/Care Coordinator. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jared Peck?
The NPI number is 1497267116.
What is the phone number of Jared Peck?
The phone number listed for the practice location is (937) 328-5300.
Where is Jared Peck located?
2624 Lexington Ave, Springfield, OH 45505.
What is the taxonomy code for Jared Peck?
The primary taxonomy code is 175T00000X – Peer Specialist; 1 more listed above.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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