JACOB BONNER
NPI 1104588789
Peer Specialist in Cleveland, OH

Active since October 11, 2021
13377 SMITH RD, CLEVELAND, OH 44130(440) 340-5558(440) 340-5575 Get Directions Write a Review

NPPES record last updated: October 11, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Bonner NPPES

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

JACOB BONNER (NPI 1104588789) is an individual peer specialist in Cleveland, Ohio, licensed in Ohio (0002342) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1104588789
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJACOB BONNER
Location Address13377 SMITH RDCleveland, OH 44130-7810
Mailing Address13377 Smith RdCleveland, OH 44130-7810 · (440) 340-5558 · Fax (440) 340-5575
Fax(440) 340-5575
Sole ProprietorNo
Enumeration DateOctober 11, 2021
NPPES CertifiedOctober 11, 2021
NPI 1104588789 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 · 0002342
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.

13377 SMITH RD, Cleveland, OH 44130

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.

Peer Specialist
13377 SMITH RD
MIDDLEBURG HEIGHTS, OH 44130
Peer Specialist
13377 SMITH RD
MIDDLEBURG HEIGHTS, OH 44130
Counselor (Addiction (Substance Use Disorder))
13377 SMITH RD
MIDDLEBURG HEIGHTS, OH 44130
Peer Specialist
13377 SMITH RD
CLEVELAND, OH 44130
Peer Specialist
13377 SMITH RD
MIDDLEBURG HEIGHTS, OH 44130
Counselor (Addiction (Substance Use Disorder))
13377 SMITH RD
CLEVELAND, OH 44130
Peer Specialist
13377 SMITH RD
MIDDLEBURG HEIGHTS, OH 44130
Counselor (Addiction (Substance Use Disorder))
13377 SMITH RD
MIDDLEBURG HEIGHTS, OH 44130

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 Jacob Bonner's NPI number?

The NPI number for Jacob Bonner is 1104588789. It was assigned to this individual provider in the NPPES registry on October 11, 2021.

Where is Jacob Bonner located?

Jacob Bonner practices at 13377 Smith Rd, Cleveland, OH 44130. The listed phone number is (440) 340-5558.

What is Jacob Bonner's specialty?

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

When was this NPI record last updated?

The NPPES record for Jacob Bonner was last updated on October 11, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.