Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669293338 Individual Practitioner Male Practitioner

Phoenix Santiago Johnson

Peer Specialist • Akron, OH

Professional Overview & Biography Verified Profile Summary

Phoenix Johnson is a registered healthcare professional specializing in Peer Specialist in Akron, OH. Practice services are available at 40 E GLENWOOD AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

40 E Glenwood Ave

Akron, OH 443041136

Telephone 3309962222

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Akron, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
200 Specialists

Practicing in Akron, OH (3139 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: 2024-10-24
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH APS.005192

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

40 Associated Practitioners
Karli Demell

Peer Specialist

NPI 1023534138
Jenna Regec

Counselor - Addiction (Substance Use Disorder)

NPI 1023839883
Michael Gasparri , LCDC II

Counselor - Addiction (Substance Use Disorder)

NPI 1033635768

LCDCII

Brooklynn Svatos

Peer Specialist

NPI 1033932512
Audie Robbins

Peer Specialist

NPI 1043946312
NPI 1053837773

Licensed Social Worker, LCDC3

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 24, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 24, 2024

Registered at 40 E GLENWOOD AVE, AKRON, OH 443041136 (Tel: 3309962222)

📍
Updated Business Mailing Address October 24, 2024

Registered at 40 E GLENWOOD AVE, AKRON, OH 443041136 (Tel: 3309962222)

👤
Provider Name / Credentials Updated October 24, 2024

Recorded as PHOENIX JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 24, 2024

Peer Specialist (License #APS.005192 in OH)

🟢
Initial NPI Registration & Enumeration October 24, 2024

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: 1669293338
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 24, 2024
Last Update: October 24, 2024
Sole Proprietor: Yes

Mailing Address

40 E Glenwood Ave

Akron, OH 443041136

Phone: 3309962222

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.