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WILLIETTE POWELL LICDC
NPI 1043758907
Peer Specialist in Cleveland, OH

Active since February 10, 2017PECOS Enrolled
13422 KINSMAN RD, CLEVELAND, OH 44120(216) 283-4400(216) 283-5359 Get Directions Write a Review

NPPES record last updated: October 8, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 8, 2020, Feb 10, 2017 (2 updates tracked since 2017).

About Williette Powell Licdc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLIETTE POWELL LICDC (NPI 1043758907) is an individual peer specialist in Cleveland, Ohio, licensed in Ohio (S.1700304) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043758907
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameWILLIETTE POWELLCredential: LICDC
Location Address13422 KINSMAN RDCleveland, OH 44120-4410
Mailing Address18400 E Park DrCleveland, OH 44119-2057 · (216) 283-4400 · Fax (216) 283-5359
Phone(216) 283-4400
Fax(216) 283-5359
Sole ProprietorYes
Enumeration DateFebruary 10, 2017
Last NPPES UpdateOctober 8, 20202 updates tracked since enumeration
NPPES CertifiedOctober 8, 2020
✔ NPI 1043758907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · S.1700304
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X · License 161339 (OH)
13422 KINSMAN RD, Cleveland, OH 44120
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health Insurance, Oscar Insurance Corporation of Ohio.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Williette Powell Licdc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Williette Powell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

I'm In Transition Ministries
5.2 mi
Community/Behavioral Health
1496 S GREEN RD
South Euclid, OH 44121
  • Reassigned Medicare billing, Ohio enrollment
NPI 1669146890 (216) 389-7413

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SILVIA PLISKIN
Social Worker
13422 KINSMAN RD
CLEVELAND, OH 44120
Cuyahoga County (216) 283-4400
LORI TAZEWELL RN
Registered Nurse (General Practice)
13422 KINSMAN RD
CLEVELAND, OH 44120
Cuyahoga County (216) 283-4400
DEAIRA ALVIS QMHS
Case Manager/Care Coordinator
13422 KINSMAN RD
CLEVELAND, OH 44120
Cuyahoga County (216) 283-4400
JENINE PAIGE QMHS
Case Manager/Care Coordinator
13422 KINSMAN RD
CLEVELAND, OH 44120
Cuyahoga County (216) 283-4400
JAZMINE FULTON QMHS
Case Manager/Care Coordinator
13422 KINSMAN RD
CLEVELAND, OH 44120
Cuyahoga County (216) 283-4400
HARVEY L MASSENGALE LSW
Counselor (Professional)
13422 KINSMAN RD
CLEVELAND, OH 44120
Cuyahoga County (216) 283-4400
FRANK EARL EATON CDCA
Counselor (Addiction (Substance Use Disorder))
13422 KINSMAN RD
CLEVELAND, OH 44120
Cuyahoga County (216) 283-4400
SAMANTHA SIMS LPN
Licensed Practical Nurse
13422 KINSMAN RD
CLEVELAND, OH 44120
Cuyahoga County (216) 283-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Williette Powell's NPI number?

The NPI number for Williette Powell is 1043758907. It was assigned to this individual provider in the NPPES registry on February 10, 2017.

Where is Williette Powell located?

Williette Powell practices at 13422 Kinsman Rd, Cleveland, OH 44120. The listed phone number is (216) 283-4400.

What is Williette Powell's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Is Williette Powell enrolled in Medicare?

Yes. Williette Powell is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Williette Powell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Williette Powell reassigns Medicare benefits to I'm In Transition Ministries (South Euclid, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Williette Powell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Williette Powell accept?

Health plans from Molina Healthcare, Oscar Health Insurance and Oscar Insurance Corporation of Ohio list Williette Powell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Williette Powell was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.