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Crystal Cotter

Peer Specialist β€’ Newark, OH

Active NPI 1124847066 Individual Practitioner Female Practitioner
Practice location in NPPES

112 S 3rd St
Newark, OH 430555335

Call 7403456874 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

112 S 3rd St

Newark, OH 430555335

Telephone 7403456874
Fax 7403455157
Organization at the Same NPPES Address or Phone
The Main Place, Inc. Facility NPI 1184678500

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

NPI first issued

2024

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 Newark and Ohio

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Newark

0% of these 22 clinicians have the CMS telehealth indicator.

0% of these 22 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: 2025-05-30
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OH APS.006428

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.

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

Career & Practice History Timeline

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

7 Historical Events
πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2025

Peer Specialist (license number reported to NPPES: OH APS.006428)

βœ…
NPI Profile Active October 08, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 08, 2024

Registered at 112 S 3RD ST, NEWARK, OH 430555335 (Tel: 7403456874)

πŸ“
Business Mailing Address (Initial Record) October 08, 2024

Registered at 112 S 3RD ST, NEWARK, OH 430555335 (Tel: 7403456874)

πŸ‘€
Provider Name / Credentials (Initial Record) October 08, 2024

Recorded as CRYSTAL COTTER

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2024

Case Manager/Care Coordinator

🟒
Initial NPI Registration & Enumeration October 08, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1124847066
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2024
Last Update: May 30, 2025
Sole Proprietor: Yes

Mailing Address

112 S 3rd St

Newark, OH 430555335

Phone: 7403456874

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.