RICKETTA HOLMES
NPI 1245123876
Peer Specialist in Cleveland, OH
- Individual
- Female
- Peer Specialist
About RICKETTA HOLMES
This page provides the complete NPI Profile along with additional information for Ricketta Holmes, a provider established in Cleveland, Ohio with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1245123876 assigned on June 2025. The practitioner's primary taxonomy code is 175T00000X with license number APS.006384 (OH). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1245123876 Verify this NPI
- Provider Name
- RICKETTA HOLMES
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 13322 GLENDALE AVE CLEVELAND, OH 44105
- Location Phone
- (216) 219-1013
- Location Fax
- (216) 219-1013
- Mailing Address
- 13322 GLENDALE AVENUE CLEVELAND, OH 44105
- Mailing Phone
- (216) 219-1013
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-02-2025
- Last Update Date
- 06-02-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- APS.006384
- License State
- OH
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245123876, enumerated as an "individual" on June 02, 2025.
The provider is located at 13322 GLENDALE AVE CLEVELAND, OH 44105 and the phone number is (216) 219-1013.
Peer Specialist with taxonomy code 175T00000X.