Active NPI 1699658260 Individual Practitioner Female Practitioner

Stacy Ann Pena

Peer Specialist • Mentor, OH

Professional Overview & Biography Verified Profile Summary

Stacy Pena is a registered healthcare professional specializing in Peer Specialist in Mentor, OH. Practice services are available at 9083 MENTOR AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9083 Mentor Ave

Mentor, OH 440606462

Telephone 2164095261

Associated Practice Facility / Clinic

🏢 Lake-Geauga Recovery Centers, Inc Facility NPI 1326305582

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Mentor, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 6.5 Yrs

Regional Practice Density

10 Specialists

Practicing in Mentor, 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: 2025-07-16

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH APS.006463

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

Anthony Niksa , LICDC-CS, PC-CR

Counselor - Addiction (Substance Use Disorder)

NPI 1033464201

LICDCCS, PCCR

Lee Skully , LISW, LICDC

Counselor - Addiction (Substance Use Disorder)

NPI 1033499603

Licensed Independent Social Worker, LICDC

Juanita Garon , LPC, LCDC III

Counselor - Addiction (Substance Use Disorder)

NPI 1043590607

Licensed Professional Counselor, LCDCIII

Amy Zuren , LPC-CR

Counselor - Professional

NPI 1053718262

LPCCR

Holly Cayia , CT

Counselor - Addiction (Substance Use Disorder)

NPI 1093591901

Patricia Feeney , LSW

Social Worker

NPI 1114790029

Licensed Social Worker

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 30, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location July 30, 2025

Registered at 9083 MENTOR AVE, MENTOR, OH 440606462 (Tel: 2164095261)

📍

Updated Business Mailing Address July 30, 2025

Registered at 430 INDEPENDENCE ST, FAIRPORT HARBOR, OH 440775640 (Tel: 2164095261)

👤

Provider Name / Credentials Updated July 30, 2025

Recorded as STACY PENA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 30, 2025

Peer Specialist (License #APS.006463 in OH)

🟢

Initial NPI Registration & Enumeration July 30, 2025

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: 1699658260

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 30, 2025

Last Update: July 30, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

430 Independence St

Fairport Harbor, OH 440775640

Phone: 2164095261

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.