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Stacy L. Neault , CPRS, CFPS

Peer Specialist β€’ Kent, OH

Active NPI 1114630647 Individual Practitioner Female Practitioner
Practice location in NPPES

5982 Rhodes Rd
Kent, OH 442408100

Call 3306731347 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5982 Rhodes Rd

Kent, OH 442408100

Telephone 3306731347
Organization at the Same NPPES Address or Phone
Coleman Professional Services, Inc. Facility NPI 1982637633

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Kent and Ohio

13 active clinicians are listed under Peer Specialist with a practice address in Kent, OH (3,082 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Kent

0% of these 13 clinicians have the CMS telehealth indicator.

0% of these 13 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-01-07
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OH FPS.000216

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.

Peer Specialist

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OH APS.002771

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

4 listed
Nicole Gallimore

Nurse Practitioner - Psychiatric/Mental Health

NPI 1134876121
Dr. Kenneth Pacer , MD

Psychiatry & Neurology - Psychiatry

NPI 1033237300

Doctor of Medicine (M.D.)

Heather Shahan , CNS

Clinical Nurse Specialist - Psychiatric/Mental Health, Adult

NPI 1144467754

Clinical Nurse Specialist

Tina Steen , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1003339656

Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location January 07, 2025

Registered at 5982 RHODES RD, KENT, OH 442408100 (Tel: 3306731347)

πŸ“
Updated Business Mailing Address January 07, 2025

Registered at 7448 STATE ROUTE 772, PIKETON, OH 456619602 (Tel: 7409720051)

πŸ‘€
Provider Name / Credentials Updated January 07, 2025

Recorded as STACY NEAULT, CPRS, CFPS

βœ…
NPI Profile Active December 29, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 29, 2022

Registered at 4300 OLD SCIOTO TRL, PORTSMOUTH, OH 456626642 (Tel: 7403519298)

πŸ“
Business Mailing Address (Initial Record) December 29, 2022

Registered at 4300 OLD SCIOTO TRL, PORTSMOUTH, OH 456626642 (Tel: 7403519298)

πŸ‘€
Provider Name / Credentials (Initial Record) December 29, 2022

Recorded as STACY NEAULT, CPRS

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 29, 2022

Peer Specialist (license number reported to NPPES: OH APS.002771)

🟒
Initial NPI Registration & Enumeration December 29, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1114630647
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 29, 2022
Last Update: January 07, 2025
Sole Proprietor: No

Mailing Address

7448 State Route 772

Piketon, OH 456619602

Phone: 7409720051

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.