JOHN LEWIS EBERHART


Address: 1121 E Mcnichols Rd, Detroit, MI 48203-2857
Phone: 3133653100

JOHN LEWIS EBERHART (NPI# 1043302730) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1043302730
Entity Type Individual
Full Name JOHN LEWIS EBERHART
Credential CAC-I
Practice Address 1121 E Mcnichols Rd
Detroit
MI 48203-2857
Practice Telephone 3133653100
Practice Fax Number 3133653101
Mailing Telephone 3133653100
Mailing Fax Number 3133653101
Enumeration Date 2006-09-29
Last Update Date 2019-07-18
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
1-04192 MI Behavioral Health & Social Service Providers
Y 175T00000X Peer Specialist Other Service Providers

Other Providers JOHN EBERHART

NPI Name Taxonomy Address Enumeration
1861032831 John James Eberhart Case Manager/Care Coordinator 67670 Traco Dr, Saint Clairsville, OH 43950-9375 2020-01-08
1831268424 John Hurley Eberhart Counselor 2275 Arlington Dr, San Leandro, CA 94578-1132 2006-11-07

Office Location

Street Address 1121 E MCNICHOLS RD
City DETROIT
State MI
Zip Code 48203-2857

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487266441 Jeremiah Spears Jr. Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2020-08-20
1740892603 Sheena Talanya Dalton Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2020-08-20
1467060368 Diane Lassiter Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2020-07-16
1487262580 Kenneth Mccoy Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2020-07-15
1780220632 Mary Margaret Fleury Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2019-11-25
1992341846 Roberta Wilson Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2019-11-25
1255977104 Debra Roberts Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2019-11-25
1952947806 Dwayne Frank Muhammad Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2019-11-25
1821633371 April Marie Doss Counselor 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2019-11-07
1962046896 Jovon Burkes Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2019-11-04
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1992355135 James Calloway Peer Specialist 1211 E Mcnichols, Detroit, MI 48203 2019-09-19
1851868582 Community Veterans Services Inc Counselor 163 Tennyson, Highland Park, MI 48203 2018-10-31
1346601838 Rainbow Center of Michigan Health Maintenance Organization 12501 Hamilton Ave., Highland Park, MI 48203 2016-03-11
1134502354 Minds Moving In New Directions Inc Community/Behavioral Health 62 Massachusetts St, Highland Park, MI 48203 2015-07-07
1811312937 Brea Holloway Home Health 20249 Yacama Rd, Detroit, MI 48203 2014-02-26
1770821795 St John Providence Health Systems Community/Behavioral Health 1150 Lantz St, Detroit, MI 48203 2013-01-25
1871845412 Waneta Darcell Dickerson Social Worker 169 W. Buena Vista, Highlandpark, MI 48203 2012-10-05
1629331939 Maureen Connolly Pediatrics 77 Victor St, Highland Park, MI 48203 2012-06-21
1578850251 Detroit Recovery Project Community/Behavioral Health 1121 East Mc Nichols, Detroit, MI 48203 2011-07-01
1265728414 Barbara Suzanne Tyson Home Health 301 Glendale St, Apt B8, Highland Park, MI 48203 2011-06-27
Find all providers in zip 48203

Taxonomy Information

Taxonomy Code 175T00000X
Grouping Other Service Providers
Classification Peer Specialist

Taxonomy Definition

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.
Notes: Source: National Uniform Claim Committee [7/1/2014: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1992355135 James Calloway Peer Specialist 1211 E Mcnichols, Detroit, MI 48203 2019-09-19
1790331536 Bridgett Darcell Scott Peer Specialist 1121 E 6 Mile Rd, Detroit, MI 48203-2857 2019-08-16
1932669827 Donald Brown Peer Specialist 18582 Goddard St, Detroit, MI 48234-1319 2019-03-25
1710463880 Felicia Greene Peer Specialist 3542 Fairview St, Detroit, MI 48214-3539 2018-07-12
1033603998 Tonya Patrice Miller-cherry Peer Specialist 1423 Field St # 5, Detroit, MI 48214-2321 2018-06-14
1831612662 Heidi L Brinkley Peer Specialist 5575 Conner St Ste 204b, Detroit, MI 48213-6401 2017-07-24
1588067383 Katrina Baldwin Peer Specialist 11668 Montrose St, Detroit, MI 48227-1758 2014-10-07
1700498771 Darryl Angelo Walker Peer Specialist 1145 W Grand Blvd, Detroit, MI 48208-2336 2020-08-20
1487266441 Jeremiah Spears Jr. Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2020-08-20
1740892603 Sheena Talanya Dalton Peer Specialist 1121 E Mcnichols Rd, Detroit, MI 48203-2857 2020-08-20
Find all providers in DETROIT

Competitor

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City DETROIT
Zip Code 48203

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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