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GARY DALEVON JOHNSON
NPI 1215786140
Peer Specialist in Cleveland, OH

Active since May 14, 2024
3214 PROSPECT AVE E, CLEVELAND, OH 44115(216) 910-9015 Get Directions Write a Review

NPPES record last updated: May 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gary Dalevon Johnson NPPES

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

GARY DALEVON JOHNSON (NPI 1215786140) is an individual peer specialist in Cleveland, Ohio, licensed in (APS.005027) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1215786140
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameGARY DALEVON JOHNSON
Location Address3214 PROSPECT AVE ECleveland, OH 44115-2614
Mailing Address3214 Prospect Ave ECleveland, OH 44115-2614 · (216) 910-9015
Phone(216) 910-9015
Sole ProprietorYes
Enumeration DateMay 14, 2024
NPPES CertifiedMay 14, 2024
✔ NPI 1215786140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed · APS.005027
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
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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.

CHRISTOPHER WILLIAMS
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015
CHINA L ROBERTSON
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015
MR. CEDRIC ALBERT SMITH JR.
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015
TAJA TAYLOR
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015
MAJID O'HARA
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015
RALPHINE ROLLING
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015
DR. JOANN HALL
Social Worker
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015
AMY MARGHEIM PRS
Peer Specialist
3214 PROSPECT AVE E
CLEVELAND, OH 44115
Cuyahoga County (216) 910-9015

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 Gary Johnson's NPI number?

The NPI number for Gary Johnson is 1215786140. It was assigned to this individual provider in the NPPES registry on May 14, 2024.

Where is Gary Johnson located?

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

What is Gary Johnson'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 Gary Johnson was last updated on May 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.