JAQWAN T. CUMMINGS OCPRS
NPI 1710865837
Peer Specialist in Lakewood, OH
- Individual
- Male
- Peer Specialist
About JAQWAN CUMMINGS
This page provides the complete NPI Profile along with additional information for Jaqwan Cummings, a provider established in Lakewood, Ohio with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1710865837 assigned on August 2025. The practitioner's primary taxonomy code is 175T00000X with license number APS.006611 (OH). The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1710865837 Verify this NPI
- Provider Name
- JAQWAN T. CUMMINGS OCPRS
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1176 WARREN RD APT 11 LAKEWOOD, OH 44107
- Location Phone
- (216) 776-8178
- Mailing Address
- 1176 WARREN RD APT 11 LAKEWOOD, OH 44107
- Mailing Phone
- (216) 776-8178
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-26-2025
- Last Update Date
- 08-26-2025
- Code Navigator
Location Map
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.
- APS.006611
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1710865837, enumerated as an "individual" on August 26, 2025.
The provider is located at 1176 WARREN RD APT 11 LAKEWOOD, OH 44107 and the phone number is (216) 776-8178.
Peer Specialist with taxonomy code 175T00000X.
