1. Home
  2. Directory
  3. Ohio
  4. Dayton
  5. Peer Specialist
  6. NPI Profile

CRYSTAL BLUE PEER SUPPORT
NPI 1669288171
Peer Specialist in Dayton, OH

Active since December 09, 2024
4977 NORTHCUTT PL, DAYTON, OH 45414(800) 829-5461 Get Directions Write a Review

NPPES record last updated: December 9, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Crystal Blue Peer Support NPPES

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

CRYSTAL BLUE PEER SUPPORT (NPI 1669288171) is an individual peer specialist in Dayton, Ohio, licensed in Ohio (APS005618) and active in the NPI registry since December 2024.

NPPES Registry Identity

NPI1669288171
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameCRYSTAL BLUECredential: PEER SUPPORT
Location Address4977 NORTHCUTT PLDayton, OH 45414-3839
Mailing Address5512 Fisher DrDayton, OH 45424-5528
Phone(800) 829-5461
Sole ProprietorYes
Enumeration DateDecember 9, 2024
NPPES CertifiedDecember 9, 2024
✔ NPI 1669288171 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 · APS005618
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.
4977 NORTHCUTT PL, Dayton, OH 45414
Open in Google Maps ↗

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.

MS. MARSHA T RUSSELL CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
QUANICE LOCKE LCDCII
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 450-7790
JEWELIA ELLIS RN
Registered Nurse (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461
BETHANY DAWN GIBSON
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
MRS. SEMAJA BRENT
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
JILL GINTER CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (937) 387-6395
PATRICIA CLARK CDCA
Counselor (Addiction (Substance Use Disorder))
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461
BLAINE ROWE PEER SUPPORT
Peer Specialist
4977 NORTHCUTT PL
DAYTON, OH 45414
Montgomery County (800) 829-5461

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 Crystal Blue's NPI number?

The NPI number for Crystal Blue is 1669288171. It was assigned to this individual provider in the NPPES registry on December 9, 2024.

Where is Crystal Blue located?

Crystal Blue practices at 4977 Northcutt Pl, Dayton, OH 45414. The listed phone number is (800) 829-5461.

What is Crystal Blue'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 Crystal Blue was last updated on December 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.