VEOMANY PHOUTHAVONG CDCA
NPI 1194474502
Peer Specialist in Columbus, OH

Active since March 22, 2022
4177 E BROAD ST, COLUMBUS, OH 43213(614) 697-1313 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 7, 2023, Jan 18, 2023 (2 updates tracked since 2023).

About Veomany Phouthavong Cdca NPPES

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

VEOMANY PHOUTHAVONG CDCA (NPI 1194474502) is an individual peer specialist in Columbus, Ohio and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1194474502
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameVEOMANY PHOUTHAVONGCredential: CDCA
Location Address4177 E BROAD STColumbus, OH 43213-1217
Mailing Address4214 E Main StWhitehall, OH 43213-3028 · (614) 697-1313
Sole ProprietorNo
Enumeration DateMarch 22, 2022
Last NPPES UpdateFebruary 7, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
NPI 1194474502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 180611 (OH)
4177 E BROAD ST, Columbus, OH 43213

Other Providers at the Same Location NPPES 15

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

Peer Specialist
4177 E BROAD ST
COLUMBUS, OH 43213
Peer Specialist
4177 E BROAD ST
WHITEHALL, OH 43213
Peer Specialist
4177 E BROAD ST
COLUMBUS, OH 43213
Peer Specialist
4177 E BROAD ST
COLUMBUS, OH 43213
Peer Specialist
4177 E BROAD ST
COLUMBUS, OH 43213
Peer Specialist
4177 E BROAD ST
COLUMBUS, OH 43213
Counselor (Addiction (Substance Use Disorder))
4177 E BROAD ST
COLUMBUS, OH 43213
Peer Specialist
4177 E BROAD ST
COLUMBUS, OH 43213

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 Veomany Phouthavong's NPI number?

The NPI number for Veomany Phouthavong is 1194474502. It was assigned to this individual provider in the NPPES registry on March 22, 2022.

Where is Veomany Phouthavong located?

Veomany Phouthavong practices at 4177 E Broad St, Columbus, OH 43213. The listed phone number is (614) 697-1313.

What is Veomany Phouthavong'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 Veomany Phouthavong was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.