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Deactivated NPI 1386407021 Deactivated / Inactive NPI Female Practitioner

Cynthia Cacy , PEER SUPPORT

Peer Specialist • Dayton, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Cynthia Cacy has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 05, 2024
NPI Deactivation Date February 13, 2025
Total Practice Duration ~1 Years of Practice (2024 – 2025)

Professional Overview & Biography Verified Profile Summary

Cynthia Cacy, PEER SUPPORT was a registered Peer Specialist practicing in Dayton, OH. Throughout an active medical career spanning 1 years, Cynthia Cacy provided care at the practice location at 4977 NORTHCUTT PL until profile deactivation on 2025-02-13.

Practice Location & Contact Primary Location

Practice Address

4977 Northcutt Pl

Dayton, OH 454143839

Telephone 8008295461
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Dayton, OH

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

Practicing in Dayton, 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH APS004237

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
Jewelia Ellis , RN

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1003625682

Registered Nurse

Patricia Clark , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1023840931

Chemical Dependency Counselor Assistant

NPI 1033908942

PEERSUPPORT

NPI 1043725914

PEERSUPPORT

NPI 1053131938

Licensed Social Worker

Ember Miller , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1053134585

Chemical Dependency Counselor Assistant

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 13, 2025

Record deactivated on February 13, 2025

NPI Profile Active February 05, 2024

NPI status registered as active in NPPES database

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Updated Practice Location February 05, 2024

Registered at 4977 NORTHCUTT PL, DAYTON, OH 454143839 (Tel: 8008295461)

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Updated Business Mailing Address February 05, 2024

Registered at 207 S MAIN ST, N BALTIMORE, OH 458721354

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Provider Name / Credentials Updated February 05, 2024

Recorded as CYNTHIA CACY, PEER SUPPORT

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 05, 2024

Peer Specialist (License #APS004237 in OH)

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Initial NPI Registration & Enumeration February 05, 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: 1386407021
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 05, 2024
Last Update: February 05, 2024
Deactivation Date: February 13, 2025

Mailing Address

207 S Main St

N Baltimore, OH 458721354

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.