CANTRY ISLAND - NPI 1801683305 - Peer Specialist in Hudson, OH

Q: What is Cantry Island's NPI number?

The NPI number for Cantry Island is 1801683305. It was assigned to this individual provider in the NPPES registry on April 21, 2025.

Q: What is Cantry Island's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

Q: When was this NPI record last updated?

The NPPES record for Cantry Island was last updated on April 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Cantry Island NPPES

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

CANTRY ISLAND (NPI 1801683305) is an individual peer specialist in Hudson, Ohio and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1801683305

Entity TypeIndividualMale

Primary Taxonomy175T00000X

Provider Legal NameCANTRY ISLAND

Location Address1737 GEORGETOWN RDHudson, OH 44236-5013

Mailing Address1737 Georgetown RdHudson, OH 44236-5013 · (330) 355-9729

Phone(330) 355-9729

Sole ProprietorYes

Enumeration DateApril 21, 2025

NPPES CertifiedApril 21, 2025

✔ NPI 1801683305 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers

Taxonomy Code175T00000X

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.

1737 GEORGETOWN RD, Hudson, OH 44236

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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.

JEREMY JORDAN

Case Manager/Care Coordinator