Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1912775602 Individual Practitioner Male Practitioner

John M Blaine , CPRS

Peer Specialist • Wilmington, DE

Professional Overview & Biography Verified Profile Summary

John Blaine, CPRS is a registered healthcare professional specializing in Peer Specialist in Wilmington, DE. Practice services are available at 3700 LANCASTER PIKE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3700 Lancaster Pike

Wilmington, DE 198051511

Telephone 3022780026
Fax 3022780047
Associated Practice Facility / Clinic
🏢 Holistic Elevation Llc Facility NPI 1760971493

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Wilmington, DE

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
29 Specialists

Practicing in Wilmington, DE (53 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2023-12-13
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License DE 2144

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Brian Howell

Counselor - Mental Health

NPI 1083466593
Alice Leonce Stevens , MS

Counselor - Mental Health

NPI 1104469311

Master of Science

Corella Rainey

Counselor - Mental Health

NPI 1174375117
Meghan Johnson

Counselor - Addiction (Substance Use Disorder)

NPI 1225806755
Siani Anderson

Behavior Analyst

NPI 1295585628
Sa'myia Salters

Counselor - Mental Health

NPI 1326986324

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active December 13, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location December 13, 2023

Registered at 3700 LANCASTER PIKE, WILMINGTON, DE 198051511 (Tel: 3022780026)

📍
Updated Business Mailing Address December 13, 2023

Registered at 3700 LANCASTER PIKE, WILMINGTON, DE 198051511 (Tel: 3022780026)

👤
Provider Name / Credentials Updated December 13, 2023

Recorded as JOHN BLAINE, CPRS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 13, 2023

Peer Specialist (License #2144 in DE)

🟢
Initial NPI Registration & Enumeration December 13, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1912775602
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 13, 2023
Last Update: December 13, 2023
Sole Proprietor: No

Mailing Address

3700 Lancaster Pike

Wilmington, DE 198051511

Phone: 3022780026

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.