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MYRACLE PETERSON
NPI 1508605577
Case Manager/Care Coordinator in Pickerington, OH

Active since May 21, 2024
10400 BLACKLICK EASTERN RD, PICKERINGTON, OH 43147(614) 726-7359 Get Directions Write a Review

NPPES record last updated: November 21, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Myracle Peterson NPPES

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

MYRACLE PETERSON (NPI 1508605577) is an individual case manager/care coordinator provider in Pickerington, Ohio and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1508605577
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMYRACLE PETERSON
Location Address10400 BLACKLICK EASTERN RDPickerington, OH 43147-8235
Mailing Address4113 Redonda LnDayton, OH 45416-1423 · (937) 580-7861
Phone(614) 726-7359
Sole ProprietorYes
Enumeration DateMay 21, 2024
Last NPPES UpdateNovember 21, 2025
NPPES CertifiedNovember 21, 2025
✔ NPI 1508605577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedTechnician · Personal Care AttendantTaxonomy 3747P1801X
10400 BLACKLICK EASTERN RD, Pickerington, OH 43147
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Other Names 1

Former Name (1)Myracle Thompson

Other Providers at the Same Location NPPES 20

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

FELIX DE LA PAZ
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Fairfield County (614) 726-7359
GRANT HUTCHESON
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Fairfield County (614) 726-7359
DONTEZ GLENN
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Fairfield County (614) 726-7359
HEIDI DELINE
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Fairfield County (386) 624-8040
ALIVIA TURMAN
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Fairfield County (614) 726-7359
SARAH JOLLIFF
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Fairfield County (614) 726-7359
SAKEENAH ENGLEMON
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Fairfield County (859) 307-8789
ROBIN LEIGH MCQUAID
Case Manager/Care Coordinator
10400 BLACKLICK EASTERN RD
PICKERINGTON, OH 43147
Fairfield County (740) 319-4445

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 Myracle Peterson's NPI number?

The NPI number for Myracle Peterson is 1508605577. It was assigned to this individual provider in the NPPES registry on May 21, 2024. The provider is also known as Myracle Thompson.

Where is Myracle Peterson located?

Myracle Peterson practices at 10400 Blacklick Eastern Rd, Pickerington, OH 43147. The listed phone number is (614) 726-7359.

What is Myracle Peterson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Myracle Peterson was last updated on November 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.