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JEREMIAH BERDIEL PEER SUPPORTER
NPI 1366173544
Peer Specialist in Cleveland, OH

Active since June 20, 2022
14445 BROADWAY AVE, CLEVELAND, OH 44125(216) 677-8177 Get Directions Write a Review

NPPES record last updated: December 12, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 12, 2023, Jul 6, 2023 (2 updates tracked since 2023).

About Jeremiah Berdiel Peer Supporter NPPES

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

JEREMIAH BERDIEL PEER SUPPORTER (NPI 1366173544) is an individual peer specialist in Cleveland, Ohio, licensed in Ohio (0002620) and active in the NPI registry since June 2022.

NPPES Registry Identity

NPI1366173544
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJEREMIAH BERDIELCredential: PEER SUPPORTER
Location Address14445 BROADWAY AVECleveland, OH 44125-1957
Mailing Address14445 Broadway AveCleveland, OH 44125-1957 · (216) 677-8177
Phone(216) 677-8177
Sole ProprietorNo
Enumeration DateJune 20, 2022
Last NPPES UpdateDecember 12, 20232 updates tracked since enumeration
NPPES CertifiedDecember 12, 2023
✔ NPI 1366173544 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · 0002620
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.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
14445 BROADWAY AVE, Cleveland, OH 44125
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Other Identifiers 1

Other0002620OH · Ohmas

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KENNETH WARD DABNEY III
Case Manager/Care Coordinator
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (216) 677-8177
JOSEPH R GALLAGHER PRS
Peer Specialist
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (513) 835-2858
STACEY R HERRADA CDCA
Counselor (Addiction (Substance Use Disorder))
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (443) 542-7765
MR. ARTHUR GARY NOGLAK PRS
Peer Specialist
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (216) 677-8177
TASHEKA WASHINGTON
Counselor (Addiction (Substance Use Disorder))
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (216) 450-6799
LEGEND TREATMENT CENTER OF CLEVELAND, LLC
Community/Behavioral Health
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (216) 677-8177
MR. KEITH SUDBERRY CDCA
Counselor (Addiction (Substance Use Disorder))
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (216) 677-8177
ASHLIE BARNES CDCA, PRS
Counselor (Addiction (Substance Use Disorder))
14445 BROADWAY AVE
CLEVELAND, OH 44125
Cuyahoga County (216) 677-8177

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 Jeremiah Berdiel's NPI number?

The NPI number for Jeremiah Berdiel is 1366173544. It was assigned to this individual provider in the NPPES registry on June 20, 2022.

Where is Jeremiah Berdiel located?

Jeremiah Berdiel practices at 14445 Broadway Ave, Cleveland, OH 44125. The listed phone number is (216) 677-8177.

What is Jeremiah Berdiel'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 Jeremiah Berdiel was last updated on December 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.