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MARC PAVLACK PRS
NPI 1659946440
Peer Specialist in Xenia, OH

Active since May 24, 2021
282 STELTON RD, XENIA, OH 45385(937) 303-8239 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2024, Jul 18, 2022, Nov 10, 2021 and 1 more (4 updates tracked since 2021).

About Marc Pavlack Prs NPPES

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

MARC PAVLACK PRS (NPI 1659946440) is an individual peer specialist in Xenia, Ohio, licensed in Ohio (APS.002165) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1659946440
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMARC PAVLACKCredential: PRS
Location Address282 STELTON RDXenia, OH 45385-5220
Mailing AddressPo Box 212Xenia, OH 45385-0212
Phone(937) 303-8239
Sole ProprietorNo
Enumeration DateMay 24, 2021
Last NPPES UpdateJune 12, 20244 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
✔ NPI 1659946440 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 · APS.002165
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
282 STELTON RD, Xenia, OH 45385
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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.

LINDA MORTENSEN
Counselor (Addiction (Substance Use Disorder))
282 STELTON RD
XENIA, OH 45385
Greene County (937) 708-8348
REBECCA MAGYAR
Counselor (Addiction (Substance Use Disorder))
282 STELTON RD
XENIA, OH 45385
Greene County (937) 708-8348
AMANDA THOMPSON
Peer Specialist
282 STELTON RD
XENIA, OH 45385
Greene County (937) 708-8348
ERICAH BEACOM BESS CDCA
Counselor (Addiction (Substance Use Disorder))
282 STELTON RD
XENIA, OH 45385
Greene County (937) 372-1600
ALBERT PUCKETT CPRS
Peer Specialist
282 STELTON RD
XENIA, OH 45385
Greene County (937) 708-8348
RONALD KOHLRUS CDCA
Counselor (Addiction (Substance Use Disorder))
282 STELTON RD
XENIA, OH 45385
Greene County (937) 708-8348
JENNA ORME MSN, RN
Registered Nurse
282 STELTON RD
XENIA, OH 45385
Greene County (937) 708-8348
LOUIS WILLIAMSON
Peer Specialist
282 STELTON RD
XENIA, OH 45385
Greene County (937) 708-8348

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 Marc Pavlack's NPI number?

The NPI number for Marc Pavlack is 1659946440. It was assigned to this individual provider in the NPPES registry on May 24, 2021.

Where is Marc Pavlack located?

Marc Pavlack practices at 282 Stelton Rd, Xenia, OH 45385. The listed phone number is (937) 303-8239.

What is Marc Pavlack'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 Marc Pavlack was last updated on June 12, 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.