RICKETTA HOLMES
NPI 1245123876
Peer Specialist in Cleveland, OH

Active since June 02, 2025
13322 GLENDALE AVE, CLEVELAND, OH 44105(216) 219-1013(216) 219-1013 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • 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
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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.