PEER RECOVERY CONSULTANTS
NPI 1265219620
Peer Specialist in Wilmington, MA

Active since September 11, 2023
41A LAKE ST, WILMINGTON, MA 01887(617) 643-9194 Get Directions Write a Review

NPPES record last updated: October 2, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Peer Specialist

About PEER RECOVERY CONSULTANTS

This page provides the complete NPI Profile along with additional information for Peer Recovery Consultants, a provider established in Wilmington, Massachusetts operating as a Peer Specialist. The healthcare provider is registered in the NPI registry with number 1265219620 assigned on September 2023. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Peer Recovery Consultants operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. David Eddie Phd (Director)

NPI
1265219620 Verify this NPI
Provider Name
PEER RECOVERY CONSULTANTS
Entity Type
Organization
Location Address
41A LAKE ST WILMINGTON, MA 01887
Location Phone
(617) 643-9194
Mailing Address
41A LAKE ST WILMINGTON, MA 01887
Mailing Phone
(617) 643-9194
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-11-2023
Last Update Date
10-02-2023
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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
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 
21041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. DAVID EDDIE PHD

Authorized Official Title
DIRECTOR
Authorized Official Phone
(617) 643-9194

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265219620, enumerated as an "organization" on September 11, 2023.

The provider is located at 41A LAKE ST WILMINGTON, MA 01887 and the phone number is (617) 643-9194.

Peer Specialist with taxonomy code 175T00000X.