Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902384175 Individual Practitioner Male Practitioner

Derek John Pidgeon , CPS

Peer Specialist • Mansfield, OH

Professional Overview & Biography Verified Profile Summary

Derek Pidgeon, CPS is a registered healthcare professional specializing in Peer Specialist in Mansfield, OH. Practice services are available at 400 BOWMAN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Bowman St

Mansfield, OH 449031235

Telephone 4195253525
Associated Practice Facility / Clinic
🏢 Mansfield Umadaop, Inc. Facility NPI 1326070160

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Mansfield, OH

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

Practicing in Mansfield, 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 103

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

19 Associated Practitioners
Ashley Warrick

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1154920403
Jasmine Fuller , LPN

Licensed Practical Nurse

NPI 1295221224

Licensed Practical Nurse

Alice Bond , LCDC LL

Counselor - Addiction (Substance Use Disorder)

NPI 1306544929

LCDCLL

Jacqueline Gonzales , MPCC, BS, CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1346735867

MPCC, Bachelor of Science, Chemical Dependency Counselor Assistant

Tonya Jones

Counselor - Mental Health

NPI 1427606185
Lyneal Wainwright , LICDC

Counselor - Addiction (Substance Use Disorder)

NPI 1447481932

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 31, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2018

Registered at 400 BOWMAN ST, MANSFIELD, OH 449031235 (Tel: 4195253525)

📍
Updated Business Mailing Address July 31, 2018

Registered at 2952 ECKERT RD, MANSFIELD, OH 449048676 (Tel: 5673038731)

👤
Provider Name / Credentials Updated July 31, 2018

Recorded as DEREK PIDGEON, CPS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2018

Peer Specialist (License #103 in OH)

🟢
Initial NPI Registration & Enumeration July 31, 2018

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: 1902384175
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2018
Last Update: July 31, 2018
Sole Proprietor: No

Mailing Address

2952 Eckert Rd

Mansfield, OH 449048676

Phone: 5673038731

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.