Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1588104012 Individual Practitioner Male Practitioner

Nicholas Wade , CDCA

Peer Specialist • Austintown, OH

Professional Overview & Biography Verified Profile Summary

Nicholas Wade, CDCA is a registered healthcare professional specializing in Peer Specialist in Austintown, OH. Practice services are available at 5760 PATRIOT BLVD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5760 Patriot Blvd

Austintown, OH 445151170

Telephone 3309530243
Associated Practice Facility / Clinic
🏢 On Demand Counseling Lab Facility NPI 1194299198

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Austintown, OH

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

Practicing in Austintown, 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: 2020-09-21
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH 0001998

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.

Substance Abuse Rehabilitation Facility

NUCC Taxonomy Code: 324500000X

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Secondary Practice Locations

2737 Youngstown Rd Se

Warren, OH 444845002

Phone: 3303698022

Practice Associates & Co-Workers

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

40 Associated Practitioners
Brandon Berlinsky , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1013836600

Chemical Dependency Counselor Assistant

NPI 1023503000

Chemical Dependency Counselor Assistant

Danielle Gilpin

Counselor - Addiction (Substance Use Disorder)

NPI 1053273615
Jason Deluca

Counselor - Addiction (Substance Use Disorder)

NPI 1053956219
Zoe Siefert , CT, CDCA-PRE

Counselor - Addiction (Substance Use Disorder)

NPI 1063075851

CT, CDCAPRE

NPI 1063343028

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location September 21, 2020

Registered at 5760 PATRIOT BLVD, AUSTINTOWN, OH 445151170 (Tel: 3309530243)

📍
Updated Business Mailing Address September 21, 2020

Registered at 5760 PATRIOT BLVD, AUSTINTOWN, OH 445151170

NPI Profile Active March 02, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 02, 2017

Registered at 2737 YOUNGSTOWN RD SE, WARREN, OH 444845002 (Tel: 3303698022)

📍
Updated Business Mailing Address March 02, 2017

Registered at 2737 YOUNGSTOWN RD SE, WARREN, OH 444845002

👤
Provider Name / Credentials Updated March 02, 2017

Recorded as NICHOLAS WADE, CDCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 02, 2017

Substance Abuse Rehabilitation Facility

🟢
Initial NPI Registration & Enumeration March 02, 2017

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: 1588104012
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 02, 2017
Last Update: September 21, 2020
Sole Proprietor: Yes

Mailing Address

5760 Patriot Blvd

Austintown, OH 445151170

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.