Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Amanda Lynn Petersen, CDCA

Individual provider Peer Specialist · NPI 1679454284

Amanda Lynn Petersen, CDCA is a Peer Specialist in Massillon, Ohio. Works from 2 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2025
Specialties on file
2

Practice location Address checks out

1680 Nave Rd SE
Massillon, OH 44646-9604
Phone: (330) 830-8740
Fax: (330) 830-0912
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1660 Nave Rd Se, Massillon, OH 44646-9604 — (330) 454-6800

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.197277 (OH)
Peer Specialist Taxonomy 175T00000X · Licence PRS.005719 (OH)

Record details

NPI number1679454284
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCA
Sole proprietorNo
NPI enumeratedSeptember 10, 2025
Last updated in NPPESSeptember 23, 2026
Certification dateSeptember 23, 2026

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