JUSTIN KORNICKI
NPI 1093509911
Peer Specialist in Columbus, OH

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since April 07, 2025

199 S CENTRAL AVE, COLUMBUS, OH 43223(614) 274-9500 Get Directions Write a Review

NPPES record last updated: April 7, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Justin Kornicki NPPES

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

JUSTIN KORNICKI (NPI 1093509911) is an individual peer specialist in Columbus, Ohio, licensed in Ohio (APS.006033) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1093509911

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameJUSTIN KORNICKI

Location Address199 S CENTRAL AVEColumbus, OH 43223-1301

Mailing Address199 S Central AveColumbus, OH 43223-1301 · (614) 274-9500 · Fax (614) 274-9500

Phone(614) 274-9500

Sole ProprietorYes

Enumeration DateApril 7, 2025

NPPES CertifiedApril 7, 2025

✔ NPI 1093509911 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

License✔ Licensed in OH · APS.006033

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.

199 S CENTRAL AVE, Columbus, OH 43223

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