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

Corey Matthew Green, PEERSUPPORTER

Individual provider Peer Specialist · NPI 1306512132

Corey Matthew Green, PEERSUPPORTER is a Peer Specialist in Columbus, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

1034 Harrisburg Pike
Columbus, OH 43223-2525
Phone: (614) 276-4840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 180368 (OH)
Peer Specialist Taxonomy 175T00000X · Licence 0002753 (OH)

Record details

NPI number1306512132
Entity typeIndividual (Type 1)
GenderMale
Credentials PEERSUPPORTER
Sole proprietorYes
NPI enumeratedAugust 20, 2021
Last updated in NPPESApril 21, 2022
Certification dateApril 21, 2022

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