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NATHANIEL HOLLIS
NPI 1174163331
Peer Specialist in Cleveland, OH

Active since January 15, 2020
9424 NELSON AVE, CLEVELAND, OH 44105(216) 562-9767 Get Directions Write a Review

NPPES record last updated: December 8, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 8, 2020, Oct 6, 2020, Jan 15, 2020 (3 updates tracked since 2020).

About Nathaniel Hollis NPPES

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

NATHANIEL HOLLIS (NPI 1174163331) is an individual peer specialist in Cleveland, Ohio, licensed in Ohio (01519) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1174163331
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameNATHANIEL HOLLIS
Location Address9424 NELSON AVECleveland, OH 44105-4059
Mailing Address1400 E 55th StCleveland, OH 44103-1304 · (216) 848-5428
Phone(216) 562-9767
Sole ProprietorYes
Enumeration DateJanuary 15, 2020
Last NPPES UpdateDecember 8, 20203 updates tracked since enumeration
NPPES CertifiedDecember 8, 2020
✔ NPI 1174163331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · 01519
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
9424 NELSON AVE, Cleveland, OH 44105
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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 Nathaniel Hollis's NPI number?

The NPI number for Nathaniel Hollis is 1174163331. It was assigned to this individual provider in the NPPES registry on January 15, 2020.

Where is Nathaniel Hollis located?

Nathaniel Hollis practices at 9424 Nelson Ave, Cleveland, OH 44105. The listed phone number is (216) 562-9767.

What is Nathaniel Hollis'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 Nathaniel Hollis was last updated on December 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.