Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1215786140 Individual Practitioner Male Practitioner

Gary Dalevon Johnson

Peer Specialist • Cleveland, OH

Professional Overview & Biography Verified Profile Summary

Gary Johnson is a registered healthcare professional specializing in Peer Specialist in Cleveland, OH. Practice services are available at 3214 PROSPECT AVE E under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3214 Prospect Ave E

Cleveland, OH 441152614

Telephone 2169109015
Associated Practice Facility / Clinic
🏢 People Places And Dreams Llc Facility NPI 1437795887

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Cleveland, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.0 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
361 Specialists

Practicing in Cleveland, 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: 2024-05-14
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License None APS.005027

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
Christopher Williams

Peer Specialist

NPI 1003630773
China Robertson

Peer Specialist

NPI 1003695495
Cedric Smith

Peer Specialist

NPI 1013587104
Taja Taylor

Peer Specialist

NPI 1023856135
Asa Newsome

Peer Specialist

NPI 1033780085
Majid O'hara

Peer Specialist

NPI 1053016071

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active May 14, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location May 14, 2024

Registered at 3214 PROSPECT AVE E, CLEVELAND, OH 441152614 (Tel: 2169109015)

📍
Updated Business Mailing Address May 14, 2024

Registered at 3214 PROSPECT AVE E, CLEVELAND, OH 441152614 (Tel: 2169109015)

👤
Provider Name / Credentials Updated May 14, 2024

Recorded as GARY JOHNSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 14, 2024

Peer Specialist (License #APS.005027 in None)

🟢
Initial NPI Registration & Enumeration May 14, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1215786140
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 14, 2024
Last Update: May 14, 2024
Sole Proprietor: Yes

Mailing Address

3214 Prospect Ave E

Cleveland, OH 441152614

Phone: 2169109015

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.