Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1750850293 Individual Practitioner Male Practitioner

Wayne Chamberlain , CPSS, CDCA

Peer Specialist • Mentor, OH

Professional Overview & Biography Verified Profile Summary

Wayne Chamberlain, CPSS, CDCA is a registered healthcare professional specializing in Peer Specialist in Mentor, OH. Practice services are available at 7232 JUSTIN WAY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7232 Justin Way

Mentor, OH 440604881

Telephone 4405788200
Associated Practice Facility / Clinic
🏢 Signature Health Inc. Facility NPI 1184170136

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: 2021-06-06
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH 741

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.

Case Manager/Care Coordinator

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH CDCA.173104

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0439292 (OH)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Tiffany Jones , MD

Psychiatry & Neurology - Psychiatry

NPI 1003082413

Doctor of Medicine (M.D.)

Ashley Focht

Counselor

NPI 1003329079
Fatimaah Fullilove , LSW, LICDC

Social Worker - Clinical

NPI 1003329228

Licensed Social Worker, LICDC

NPI 1003420076

Licensed Professional Clinical Counselor

NPI 1003420738
Clotilda Raymond

Social Worker

NPI 1003436825

Career & Practice History Timeline

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

12 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 06, 2021

Case Manager/Care Coordinator

📍
Updated Practice Location March 24, 2021

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

📍
Updated Business Mailing Address March 24, 2021

Registered at 7232 JUSTIN WAY, MENTOR, OH 440604881 (Tel: 4405788200)

👤
Provider Name / Credentials Updated March 24, 2021

Recorded as WAYNE CHAMBERLAIN, CPSS, CDCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 24, 2021

Counselor (License #CDCA.173104 in OH)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2020

Case Manager/Care Coordinator

NPI Profile Active November 14, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location November 14, 2018

Registered at 1744 PAYNE AVE, CLEVELAND, OH 441142910 (Tel: 2166236555)

📍
Updated Business Mailing Address November 14, 2018

Registered at 1744 PAYNE AVE, CLEVELAND, OH 441142910

👤
Provider Name / Credentials Updated November 14, 2018

Recorded as WAYNE CHAMBERLAIN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 14, 2018

Peer Specialist

🟢
Initial NPI Registration & Enumeration November 14, 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: 1750850293
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 14, 2018
Last Update: June 06, 2021
Sole Proprietor: Yes

Mailing Address

7232 Justin Way

Mentor, OH 440604881

Phone: 4405788200

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.