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Jarreth Ackerman

Peer Specialist β€’ Warren, OH

Active NPI 1619510526 Individual Practitioner Male Practitioner
Practice location in NPPES

1212 Tod Pl Nw
Warren, OH 444852475

Call 3304696822 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

1212 Tod Pl Nw

Warren, OH 444852475

Telephone 3304696822
Fax 3302945641
Organization at the Same NPPES Address or Phone
Safe Harbor Recovery, Llc Facility NPI 1437771870

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

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Warren, OH. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

NPI first issued

2019

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 Warren and Ohio

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

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Warren

0% of these 60 clinicians have the CMS telehealth indicator.

0% of these 60 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: 2023-07-20
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OH 001173

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

Secondary Practice Locations

2430 Parkman Rd Nw

Warren, OH 444851777

Phone: 3304696822

Career & Practice History Timeline

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

8 Historical Events
πŸ“
Updated Practice Location July 20, 2023

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

πŸ“
Updated Business Mailing Address July 20, 2023

Registered at PO BOX 1212, WARREN, OH 444821212 (Tel: 3046968223)

βœ…
NPI Profile Active October 23, 2019

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 23, 2019

Registered at 2737 YOUNGSTOWN RD SE, WARREN, OH 444845002 (Tel: 3303698022)

πŸ“
Business Mailing Address (Initial Record) October 23, 2019

Registered at 2737 YOUNGSTOWN RD SE, WARREN, OH 444845002 (Tel: 3303698022)

πŸ‘€
Provider Name / Credentials (Initial Record) October 23, 2019

Recorded as JARRETH ACKERMAN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 23, 2019

Peer Specialist (license number reported to NPPES: OH 001173)

🟒
Initial NPI Registration & Enumeration October 23, 2019

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1619510526
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 23, 2019
Last Update: July 20, 2023
Sole Proprietor: Yes

Mailing Address

Po Box 1212

Warren, OH 444821212

Phone: 3046968223

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.