CAROLYN DENISE GENTRY NPI 1801385752

NPI Information

NPI: 1801385752
Provider Name: CAROLYN DENISE GENTRY
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
2151 RUSH BLVD
YOUNGSTOWN, OH
ZIP 44507
Phone: (330) 744-1181
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Carolyn Denise Gentry is a peer specialist in Youngstown, OH. The provider is 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. Carolyn Denise Gentry NPI is 1801385752. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2151 RUSH BLVD
YOUNGSTOWN, OH
ZIP 44507-535
Phone: (330) 744-1181

The enumeration date for this NPI number is 5/7/2018 and was last updated on 1/27/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.165128	OHIO	No
2	175T00000X	Peer Specialist			OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0282408	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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