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MITCHELL BRUNO- FREDERIKSEN
NPI 1811685464
Peer Specialist in Coventry Township, OH

Active since May 01, 2023
648 COVE BLVD, COVENTRY TOWNSHIP, OH 44319(330) 553-4584 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mitchell Bruno- Frederiksen NPPES

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

MITCHELL BRUNO- FREDERIKSEN (NPI 1811685464) is an individual peer specialist in Coventry Township, Ohio and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1811685464
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMITCHELL BRUNO- FREDERIKSEN
Location Address648 COVE BLVDCoventry Township, OH 44319-1042
Mailing Address648 Cove BlvdCoventry Township, OH 44319-1042 · (330) 553-4584
Phone(330) 553-4584
Sole ProprietorYes
Enumeration DateMay 1, 2023
NPPES CertifiedMay 1, 2023
✔ NPI 1811685464 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.
648 COVE BLVD, Coventry Township, OH 44319
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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 Mitchell Bruno- Frederiksen's NPI number?

The NPI number for Mitchell Bruno- Frederiksen is 1811685464. It was assigned to this individual provider in the NPPES registry on May 1, 2023.

Where is Mitchell Bruno- Frederiksen located?

Mitchell Bruno- Frederiksen practices at 648 Cove Blvd, Coventry Township, OH 44319. The listed phone number is (330) 553-4584.

What is Mitchell Bruno- Frederiksen'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 Mitchell Bruno- Frederiksen was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.