PEER RECOVERY CONSULTANTS
NPI 1265219620
Peer Specialist in Wilmington, MA
- 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
- 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
- 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) |
|---|---|---|---|---|
| 1 | 103TC0700X | Behavioral Health & Social Service Providers | Psychologist | |
| 2 | 1041C0700X | Behavioral Health & Social Service Providers | Social Worker |
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.
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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.