KEITH MOODY
NPI 1164211504
Peer Specialist in Cleveland, OH

Active since May 02, 2025
3214 PROSPECT AVE E, CLEVELAND, OH 44115(216) 910-9015(216) 910-9015 Get Directions Write a Review

NPPES record last updated: May 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Keith Moody NPPES

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

KEITH MOODY (NPI 1164211504) is an individual peer specialist in Cleveland, Ohio, licensed in Ohio (APS.006313) and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1164211504
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKEITH MOODY
Location Address3214 PROSPECT AVE ECleveland, OH 44115-2614
Mailing Address3214 Prospect Ave ECleveland, OH 44115-2614 · (216) 910-9015 · Fax (216) 910-9015
Fax(216) 910-9015
Sole ProprietorYes
Enumeration DateMay 2, 2025
NPPES CertifiedMay 2, 2025
NPI 1164211504 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.006313
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.

3214 PROSPECT AVE E, Cleveland, OH 44115

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
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Social Worker
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115

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 Keith Moody's NPI number?

The NPI number for Keith Moody is 1164211504. It was assigned to this individual provider in the NPPES registry on May 2, 2025.

Where is Keith Moody located?

Keith Moody practices at 3214 Prospect Ave E, Cleveland, OH 44115. The listed phone number is (216) 910-9015.

What is Keith Moody'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 Keith Moody was last updated on May 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.