MS. JENETTE MARIE STARK
NPI 1114659653
Peer Specialist in Greenville, OH

Active since June 24, 2022
209 E 4TH ST, GREENVILLE, OH 45331(567) 371-4418 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jenette Marie Stark NPPES

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

MS. JENETTE MARIE STARK (NPI 1114659653) is an individual peer specialist in Greenville, Ohio and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1114659653
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameMS. JENETTE MARIE STARK
Location Address209 E 4TH STGreenville, OH 45331-1939
Mailing Address530 S Main StLima, OH 45804-1240 · (576) 371-4418
Sole ProprietorYes
Enumeration DateJune 24, 2022
NPPES CertifiedJune 22, 2022
NPI 1114659653 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.
209 E 4TH ST, Greenville, OH 45331

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Licensed Practical Nurse
209 E 4TH ST
GREENVILLE, OH 45331

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 Jenette Stark's NPI number?

The NPI number for Jenette Stark is 1114659653. It was assigned to this individual provider in the NPPES registry on June 24, 2022.

Where is Jenette Stark located?

Jenette Stark practices at 209 E 4th St, Greenville, OH 45331. The listed phone number is (567) 371-4418.

What is Jenette Stark'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 Jenette Stark was last updated on June 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.