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MR. PHOENIX SANTIAGO JOHNSON
NPI 1669293338
Peer Specialist in Akron, OH

Active since October 24, 2024
40 E GLENWOOD AVE, AKRON, OH 44304(330) 996-2222 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Phoenix Santiago Johnson NPPES

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

MR. PHOENIX SANTIAGO JOHNSON (NPI 1669293338) is an individual peer specialist in Akron, Ohio, licensed in Ohio (APS.005192) and active in the NPI registry since October 2024.

NPPES Registry Identity

NPI1669293338
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. PHOENIX SANTIAGO JOHNSON
Location Address40 E GLENWOOD AVEAkron, OH 44304-1136
Mailing Address40 E Glenwood AveAkron, OH 44304-1136 · (330) 996-2222
Phone(330) 996-2222
Sole ProprietorYes
Enumeration DateOctober 24, 2024
NPPES CertifiedOctober 24, 2024
✔ NPI 1669293338 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 · APS.005192
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.
40 E GLENWOOD AVE, Akron, OH 44304
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Other Providers at the Same Location NPPES 5

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

MIKE PATRICK RAGAN LCDC III, BA
Counselor (Addiction (Substance Use Disorder))
40 E GLENWOOD AVE
AKRON, OH 44304
Summit County (330) 996-2222
HEATHER POWER
Peer Specialist
40 E GLENWOOD AVE
AKRON, OH 44304
Summit County (330) 535-8116
MRS. JESSICA ROSE REESE CDCA
Counselor (Addiction (Substance Use Disorder))
40 E GLENWOOD AVE
AKRON, OH 44304
Summit County (330) 535-8116
WALONDA RACHELLE BURNEY
Counselor (Addiction (Substance Use Disorder))
40 E GLENWOOD AVE
AKRON, OH 44304
Summit County (330) 996-2222
CHEYENNE TALLEY LPN
Licensed Practical Nurse
40 E GLENWOOD AVE
AKRON, OH 44304
Summit County (330) 996-2222

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 Phoenix Johnson's NPI number?

The NPI number for Phoenix Johnson is 1669293338. It was assigned to this individual provider in the NPPES registry on October 24, 2024.

Where is Phoenix Johnson located?

Phoenix Johnson practices at 40 E Glenwood Ave, Akron, OH 44304. The listed phone number is (330) 996-2222.

What is Phoenix Johnson'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 Phoenix Johnson was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.