Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1700642212 Individual Practitioner Male Practitioner

Jonathan Carpenter , CPRS

Peer Specialist • Warren, OH

Professional Overview & Biography Verified Profile Summary

Jonathan Carpenter, CPRS is a registered healthcare professional specializing in Peer Specialist in Warren, OH. Practice services are available at 1212 TOD PL NW under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1212 Tod Pl Nw

Warren, OH 444852475

Telephone 3304696822
Fax 3302945641
Associated Practice Facility / Clinic
🏢 Safe Harbor Recovery, Llc Facility NPI 1437771870

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Warren, OH

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

Practicing in Warren, 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: 2024-02-22
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH APS.004824

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.

Secondary Practice Locations

2430 Parkman Rd Nw

Warren, OH 444851777

Phone: 3304696822

Practice Associates & Co-Workers

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

34 Associated Practitioners
Kurt Eckenrode , CPRS

Peer Specialist

NPI 1003793563
James Shively , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1083108799

Chemical Dependency Counselor Assistant

David Lachowski , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1083184766

Chemical Dependency Counselor Assistant

David Mcwilliams , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1093581969

Chemical Dependency Counselor Assistant

Frank Kotsol , CPRS

Peer Specialist

NPI 1104532258
Cole Myers

Counselor - Addiction (Substance Use Disorder)

NPI 1104616994

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active February 22, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location February 22, 2024

Registered at 1212 TOD PL NW, WARREN, OH 444852475 (Tel: 3304696822)

📍
Updated Business Mailing Address February 22, 2024

Registered at PO BOX 1212, WARREN, OH 444821212

👤
Provider Name / Credentials Updated February 22, 2024

Recorded as JONATHAN CARPENTER, CPRS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 22, 2024

Peer Specialist (License #APS.004824 in OH)

🟢
Initial NPI Registration & Enumeration February 22, 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: 1700642212
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 22, 2024
Last Update: February 22, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 1212

Warren, OH 444821212

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.