Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chad Shepherd, PEERSUPPORT

Individual provider Peer Specialist · NPI 1700610060

Chad Shepherd, PEERSUPPORT is a Peer Specialist in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

4977 Northcutt Pl
Dayton, OH 45414-3839
Phone: (800) 829-5461
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS005329 (OH)

Record details

NPI number1700610060
Entity typeIndividual (Type 1)
GenderMale
Credentials PEERSUPPORT
Sole proprietorYes
NPI enumeratedAugust 29, 2024
Last updated in NPPESAugust 29, 2024
Certification dateAugust 29, 2024
Mailing address812 N Main St, Malta, OH 43758-9019

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