Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

ANTHONY VINCE WASHINGTON SR.
NPI 1396661005
Peer Specialist in Cleveland, OH

Active since June 26, 2026
10509 MOUNT AUBURN AVE, CLEVELAND, OH 44104(216) 512-2751 Get Directions Write a Review

NPPES record added: June 26, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Anthony Vince Washington Sr. NPPES

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

ANTHONY VINCE WASHINGTON SR. (NPI 1396661005) is an individual peer specialist in Cleveland, Ohio, licensed in Ohio (007682) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1396661005
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameANTHONY VINCE WASHINGTON SR.
Location Address10509 MOUNT AUBURN AVECleveland, OH 44104-4961
Mailing Address10509 Mount Auburn AveCleveland, OH 44104-4961
Sole ProprietorYes
Enumeration DateJune 26, 2026
NPPES CertifiedJune 26, 2026
NPI 1396661005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OH · 007682
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.

10509 MOUNT AUBURN AVE, Cleveland, OH 44104

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1396661005, enumerated as an "individual" on June 26, 2026.

The provider is located at 10509 MOUNT AUBURN AVE CLEVELAND, OH 44104 and the phone number is (216) 512-2751.

Peer Specialist with taxonomy code 175T00000X.