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Active NPI 1528735651 Individual Practitioner Female Practitioner

Jacqueline Kay Davis , PEER RECOVERY SUPPOR

Peer Specialist • Columbus, OH

Professional Overview & Biography Verified Profile Summary

Jacqueline Davis, PEER RECOVERY SUPPOR is a registered healthcare professional specializing in Peer Specialist in Columbus, OH. Practice services are available at 1200 WOODBOOK LANE, STE A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1200 Woodbook Lane, Ste A
Ste A

Columbus, OH 43223

Telephone 6143983470
Associated Practice Facility / Clinic
🏢 Eden Counseling Centers Llc Facility NPI 1760839096

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Columbus, OH

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

Practicing in Columbus, 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: 2021-08-06
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH 00002604

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

23 Associated Practitioners
Charles Viney

Counselor - Addiction (Substance Use Disorder)

NPI 1003519224
Jessica Irizarry , RN

Registered Nurse

NPI 1023522067

Registered Nurse

Kenneth Brooks

Counselor - Addiction (Substance Use Disorder)

NPI 1083286124
Aaron Hamilton

Counselor - Addiction (Substance Use Disorder)

NPI 1083346985
Yvette Turner

Peer Specialist

NPI 1114590197
Kyra Vazquez

Counselor - Addiction (Substance Use Disorder)

NPI 1154044154

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 26, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2021

Registered at 1200 WOODBOOK LANE, STE A, STE A, COLUMBUS, OH 43223 (Tel: 6143983470)

📍
Updated Business Mailing Address August 26, 2021

Registered at 30 W SPRING ST, COLUMBUS, OH 432152216 (Tel: 6144667738)

👤
Provider Name / Credentials Updated August 26, 2021

Recorded as JACQUELINE DAVIS, PEER RECOVERY SUPPOR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2021

Peer Specialist (License #00002604 in OH)

🟢
Initial NPI Registration & Enumeration August 26, 2021

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: 1528735651
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 26, 2021
Last Update: August 26, 2021
Sole Proprietor: Yes

Mailing Address

30 W Spring St

Columbus, OH 432152216

Phone: 6144667738

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.