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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AMANDA LYNN PETERSEN CDCA
NPI 1679454284
Peer Specialist in Canton, OH

Active since September 10, 2025
624 MARKET AVE N, CANTON, OH 44702(330) 209-9016(330) 497-0677 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 14, 2026, Sep 10, 2025 (2 updates tracked since 2025).

About Amanda Lynn Petersen Cdca NPPES

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

AMANDA LYNN PETERSEN CDCA (NPI 1679454284) is an individual peer specialist in Canton, Ohio, licensed in Ohio (OCPS.161571) and active in the NPI registry since September 2025. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679454284
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameAMANDA LYNN PETERSENCredential: CDCA
Location Address624 MARKET AVE NCanton, OH 44702-1017
Mailing Address624 Market Ave NCanton, OH 44702-1017 · (330) 209-9016 · Fax (330) 497-0677
Phone(330) 209-9016
Fax(330) 497-0677
Sole ProprietorNo
Enumeration DateSeptember 10, 2025
Last NPPES UpdateAugust 14, 20262 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1679454284 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 · OCPS.161571
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 ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CDCA.193508 (OH)
624 MARKET AVE N, Canton, OH 44702
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Other Names 1

Other Name (5)Amanda L Petersen Peer Support

Secondary Practice Locations 2

Location 11680 Nave Rd SEMassillon, OH 44646-9604 · Phone (330) 830-8740 · Fax (330) 830-0912
Location 21660 Nave Rd SEMassillon, OH 44646-9604 · Phone (330) 454-6800 · Fax (330) 588-7176

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.

DEBRA ANN CASEY
Peer Specialist
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 479-1912
BRENDAN ROWE CT
Counselor
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
LAURA MEGAN ELLIOTT-HECKAMAN B.A.
Case Manager/Care Coordinator
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
DAMONTA MCCLENDON
Peer Specialist
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 479-1912
MARK WOODS
Social Worker (Clinical)
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 454-7066
DEBORAH F VAUGHAN LPC
Counselor (Mental Health)
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
TERRI HUDSON
Social Worker
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 493-4553
SUSAN STROUP LISW
Social Worker (Clinical)
624 MARKET AVE N
CANTON, OH 44702
Stark County (330) 454-7066

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 Amanda Petersen's NPI number?

The NPI number for Amanda Petersen is 1679454284. It was assigned to this individual provider in the NPPES registry on September 10, 2025. The provider is also known as Amanda L Petersen Peer Support.

Where is Amanda Petersen located?

Amanda Petersen practices at 624 Market Ave N, Canton, OH 44702. The listed phone number is (330) 209-9016.

What is Amanda Petersen'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 Amanda Petersen was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.