JARED MATHIAS LEWIS
NPI 1396594941
Peer Specialist in Cocoa, FL

Active since May 16, 2024
255 DRYDEN CIR, COCOA, FL 32926(321) 412-0577(321) 978-9280 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jared Mathias Lewis NPPES

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

JARED MATHIAS LEWIS (NPI 1396594941) is an individual peer specialist in Cocoa, Florida, licensed in Florida (CRPS.0101359-P) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1396594941
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJARED MATHIAS LEWIS
Location Address255 DRYDEN CIRCocoa, FL 32926-2481
Mailing Address255 Dryden CirCocoa, FL 32926-2481 · (321) 412-0577 · Fax (321) 978-9280
Fax(321) 978-9280
Sole ProprietorYes
Enumeration DateMay 16, 2024
NPPES CertifiedMay 16, 2024
NPI 1396594941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in FL · CRPS.0101359-P
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.
255 DRYDEN CIR, Cocoa, FL 32926

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 Jared Lewis's NPI number?

The NPI number for Jared Lewis is 1396594941. It was assigned to this individual provider in the NPPES registry on May 16, 2024.

Where is Jared Lewis located?

Jared Lewis practices at 255 Dryden Cir, Cocoa, FL 32926. The listed phone number is (321) 412-0577.

What is Jared Lewis'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 Jared Lewis was last updated on May 16, 2024. 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.