1. Home
  2. Directory
  3. Ohio
  4. Canton
  5. Counselor
  6. NPI Profile

MR. DARRYL WAYNE PETERSON II
NPI 1679117386
Counselor - Mental Health in Canton, OH

Active since November 05, 2019
3040 WICKER ST NE, CANTON, OH 44721(234) 521-1318 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Darryl Wayne Peterson Ii NPPES

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

MR. DARRYL WAYNE PETERSON II (NPI 1679117386) is an individual mental health provider in Canton, Ohio and active in the NPI registry since November 2019.

NPPES Registry Identity

NPI1679117386
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameMR. DARRYL WAYNE PETERSON II
Location Address3040 WICKER ST NECanton, OH 44721-2298
Mailing Address2605 Broad Ave NwCanton, OH 44708-2400
Phone(234) 521-1318
Sole ProprietorYes
Enumeration DateNovember 5, 2019
Last NPPES UpdateJune 28, 2023
NPPES CertifiedJune 28, 2023
✔ NPI 1679117386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3040 WICKER ST NE, Canton, OH 44721
Open in Google Maps ↗

Other Providers at the Same Location NPPES 2

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

PHENOMENAL CARE SERVICES LLC
Private Vehicle
3040 WICKER ST NE
CANTON, OH 44721
Stark County (234) 521-1318
MRS. NATATIA MONIQUE PETERSON CD, PCD, DEM
Midwife
3040 WICKER ST NE
CANTON, OH 44721
Stark County (330) 962-2365

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 Darryl Peterson's NPI number?

The NPI number for Darryl Peterson is 1679117386. It was assigned to this individual provider in the NPPES registry on November 5, 2019.

Where is Darryl Peterson located?

Darryl Peterson practices at 3040 Wicker St NE, Canton, OH 44721. The listed phone number is (234) 521-1318.

What is Darryl Peterson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Darryl Peterson was last updated on June 28, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.