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John Mohr , CDCA, CPRS

Peer Specialist β€’ Warren, OH

Active NPI 1861151870 Individual Practitioner Male Practitioner
Practice location in NPPES

4930 Enterprise Dr Nw
Warren, OH 444818706

Call 3307870955 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

4930 Enterprise Dr Nw

Warren, OH 444818706

Telephone 3307870955
Organization at the Same NPPES Address or Phone
Fsr Of Parkman Llc Facility NPI 1487168084

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

NPI first issued

2021

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Addresses are self-reported to NPPES and may be out of date.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: 2023-09-07
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

License # reported to NPPES OH APS.004099

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.

Substance Abuse Rehabilitation Facility

NUCC Taxonomy Code: 324500000X

License # reported to NPPES OH 179237

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

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.

1 listed
Dr. Joseph Lydon , MD

Psychiatry & Neurology - Addiction Medicine

NPI 1598766859

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated September 07, 2023

Recorded as JOHN MOHR, CDCA, CPRS

βœ…
NPI Profile Active December 17, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) December 17, 2021

Registered at 4930 ENTERPRISE DR NW, WARREN, OH 444818706 (Tel: 3307870955)

πŸ“
Business Mailing Address (Initial Record) December 17, 2021

Registered at 4930 ENTERPRISE DR NW, WARREN, OH 444818706

πŸ‘€
Provider Name / Credentials (Initial Record) December 17, 2021

Recorded as JOHN MOHR, CDCA

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) December 17, 2021

Substance Abuse Rehabilitation Facility (license number reported to NPPES: OH 179237)

🟒
Initial NPI Registration & Enumeration December 17, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1861151870
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 17, 2021
Last Update: September 07, 2023
Sole Proprietor: Yes

Mailing Address

4930 Enterprise Dr Nw

Warren, OH 444818706

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.