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NICOLE HERNDON
NPI 1114569506
Peer Specialist in Canton, OH

Active since October 17, 2019
1114 GONDER AVE SE, CANTON, OH 44707(330) 430-2801 Get Directions Write a Review

NPPES record last updated: October 17, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nicole Herndon NPPES

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

NICOLE HERNDON (NPI 1114569506) is an individual peer specialist in Canton, Ohio and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1114569506
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameNICOLE HERNDON
Location Address1114 GONDER AVE SECanton, OH 44707-3300
Mailing Address5982 Rhodes RdKent, OH 44240-8100 · (330) 673-1347 · Fax (330) 678-3677
Phone(330) 430-2801
Sole ProprietorNo
Enumeration DateOctober 17, 2019
✔ NPI 1114569506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.
1114 GONDER AVE SE, Canton, OH 44707
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Other Providers at the Same Location NPPES 3

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

HEATHER CHRISTINE BERENS
Case Manager/Care Coordinator
1114 GONDER AVE SE
CANTON, OH 44707
Stark County (330) 430-2801
KAPRI TAYLOR
Case Manager/Care Coordinator
1114 GONDER AVE SE
CANTON, OH 44707
Stark County (330) 430-1254
EMANI L REYNOLDS
Case Manager/Care Coordinator
1114 GONDER AVE SE
CANTON, OH 44707
Stark County (330) 430-2801

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 Nicole Herndon's NPI number?

The NPI number for Nicole Herndon is 1114569506. It was assigned to this individual provider in the NPPES registry on October 17, 2019.

Where is Nicole Herndon located?

Nicole Herndon practices at 1114 Gonder Ave SE, Canton, OH 44707. The listed phone number is (330) 430-2801.

What is Nicole Herndon'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 Nicole Herndon was last updated on October 17, 2019. 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.