Active NPIIndividual providerSole proprietor

Charity A Cousin, CPRS

Peer Specialist in Youngstown, Ohio

NPI Number1356057178
Practice location
25 N Canfield Niles RD Ste 30, Youngstown, OH 44515-2308
Fax
833-307-1913
Last updated
January 25, 2023

Charity A Cousin is a Peer Specialist based in Youngstown, OH. Charity A Cousin practices in Youngstown, OH and has the professional credentials of CPRS. The NPI Number for Charity A Cousin is 1356057178. The current practice location address for Charity A Cousin is 25 N Canfield Niles RD Ste 30, Youngstown, OH 44515-2308 and can be reached out via phone at 330-542-6200 and via fax at 833-307-1913.

Provider Profile Details

NPI Number
1356057178
Provider Name
Charity A Cousin
Credential
CPRS
Provider Entity Type
Individual
Gender
Female
Address
25 N Canfield Niles RD Ste 30, Youngstown, OH 44515-2308
Phone Number
330-542-6200
Fax Number
833-307-1913
Primary Taxonomy
Peer Specialist · 175T00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 25, 2023
Last Update Date
January 25, 2023
Certification Date
January 25, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
25 N Canfield Niles RD Ste 30
Youngstown, OH 44515-2308
State
Ohio
Zip
44515-2308
Phone Number
330-542-6200
Fax Number
833-307-1913
Youngstown, OH 44515Get directions →

Provider Business Mailing Address Details

Address
221 Crescent St Ste 202
Waltham, MA 02453-3425
City
Waltham
State
MA
Zip
02453-3425
Phone Number
781-487-1107

License Information

Taxonomy
Peer Specialist · 175T00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Charity A Cousin, CPRS?

The NPI number of Charity A Cousin, CPRS is 1356057178. It was assigned on January 25, 2023 and is currently active in the NPPES registry.

What is the specialty of Charity A Cousin, CPRS?

Charity A Cousin, CPRS is registered under the primary taxonomy Peer Specialist (code 175T00000X).

Where does Charity A Cousin, CPRS practice?

The practice location is 25 N Canfield Niles RD Ste 30, Youngstown, OH 44515-2308. The office can be reached at 330-542-6200 (phone) or 833-307-1913 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1356057178 directly on the NPPES registry website.

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