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TANESHA IVORY
NPI 1396673455
Peer Specialist in Cleveland, OH

Active since May 11, 2026
4887 W 13TH ST, CLEVELAND, OH 44109(216) 501-2310 Get Directions Write a Review

NPPES record last updated: May 11, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tanesha Ivory NPPES

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

TANESHA IVORY (NPI 1396673455) is an individual peer specialist in Cleveland, Ohio, licensed in Ohio (PRS.007756) and active in the NPI registry since May 2026.

NPPES Registry Identity

NPI1396673455
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameTANESHA IVORY
Location Address4887 W 13TH STCleveland, OH 44109-5655
Mailing Address4887 W 13th StCleveland, OH 44109-5655 · (216) 501-2310
Phone(216) 501-2310
Sole ProprietorYes
Enumeration DateMay 11, 2026
NPPES CertifiedMay 11, 2026
✔ NPI 1396673455 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 · PRS.007756
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.
4887 W 13TH ST, Cleveland, OH 44109
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Tanesha Ivory's NPI number?

The NPI number for Tanesha Ivory is 1396673455. It was assigned to this individual provider in the NPPES registry on May 11, 2026.

Where is Tanesha Ivory located?

Tanesha Ivory practices at 4887 W 13th St, Cleveland, OH 44109. The listed phone number is (216) 501-2310.

What is Tanesha Ivory'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 Tanesha Ivory was last updated on May 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.