CHANDLER TERRELL TILLMAN PEER SUPPORT
NPI 1235001140
Peer Specialist in Lorain, OH

Active since September 19, 2025
1939 OBERLIN AVE, LORAIN, OH 44052(440) 963-7042 Get Directions Write a Review

NPPES record last updated: November 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2025, Sep 19, 2025 (2 updates tracked since 2025).

About Chandler Terrell Tillman Peer Support NPPES

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

CHANDLER TERRELL TILLMAN PEER SUPPORT (NPI 1235001140) is an individual peer specialist in Lorain, Ohio, licensed in Ohio (APS.003139) and active in the NPI registry since September 2025. He maintains a secondary practice location in Lorain.

NPPES Registry Identity

NPI1235001140
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameCHANDLER TERRELL TILLMANCredential: PEER SUPPORT
Location Address1939 OBERLIN AVELorain, OH 44052-3959
Mailing Address1939 Oberlin AveLorain, OH 44052-3959 · (440) 963-7042
Sole ProprietorYes
Enumeration DateSeptember 19, 2025
Last NPPES UpdateNovember 11, 20252 updates tracked since enumeration
NPPES CertifiedNovember 11, 2025
NPI 1235001140 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.003139
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.
1939 OBERLIN AVE, Lorain, OH 44052

Secondary Practice Location 1

Location 16140 S BroadwayLorain, OH 44053-3821 · Phone (440) 233-7232 · Fax (440) 282-4779

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
1939 OBERLIN AVE
LORAIN, OH 44052
Peer Specialist
1939 OBERLIN AVE
LORAIN, OH 44052
Peer Specialist
1939 OBERLIN AVE
LORAIN, OH 44052
Peer Specialist
1939 OBERLIN AVE
LORAIN, OH 44052
Counselor
1939 OBERLIN AVE
LORAIN, OH 44052
Peer Specialist
1939 OBERLIN AVE
LORAIN, OH 44052
Peer Specialist
1939 OBERLIN AVE
LORAIN, OH 44052
Peer Specialist
1939 OBERLIN AVE
LORAIN, OH 44052

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 Chandler Tillman's NPI number?

The NPI number for Chandler Tillman is 1235001140. It was assigned to this individual provider in the NPPES registry on September 19, 2025.

Where is Chandler Tillman located?

Chandler Tillman practices at 1939 Oberlin Ave, Lorain, OH 44052. The listed phone number is (440) 963-7042.

What is Chandler Tillman'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 Chandler Tillman was last updated on November 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.