WILLIETTE POWELL LICDC
NPI 1043758907
Peer Specialist in Cleveland, OH

Q: 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.

Q: What is Williette Powell's specialty?

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

Q: 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 5 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.

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: August 09, 2026.

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

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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, and ordering and referring status from the CMS PECOS system.

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.

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