JACOB A SANDERS
NPI 1689246597
Peer Specialist in Paulding, OH

Q: What is the provider's specialty?

The provider's specialty is Peer Specialist with taxonomy code 175T00000X.

Active since July 12, 2021

501 MC DONALD PIKE, PAULDING, OH 45879(419) 399-3636 Get Directions Write a Review

NPPES record last updated: July 12, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

NPI Profile Information
Primary Taxonomy
Secondary Locations
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Peer Specialist

About JACOB SANDERS

This page provides the complete NPI Profile along with additional information for Jacob Sanders, a provider established in Paulding, Ohio with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1689246597 assigned on July 2021. The practitioner's primary taxonomy code is 175T00000X with license number 0002576 (OH). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI: 1689246597 Verify this NPI
Provider Name: JACOB A SANDERS
Gender: Male
Entity Type: Individual
Location Address: 501 MC DONALD PIKE PAULDING, OH 45879
Location Phone: (419) 399-3636
Mailing Address: PO BOX 329 PAULDING, OH 45879
Mailing Phone: (419) 399-3636
Is Sole Proprietor?: Yes
Enumeration Date: 07-12-2021
Last Update Date: 07-12-2021
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Location Map

Secondary Locations

1158 Westwood Dr
Van Wert, OH 45891
(419) 238-3434

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Peer Specialist
Taxonomy Code: 175T00000X
Type: Other Service Providers
License No.: 0002576
License State: OH
Taxonomy Description: 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.