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

Daniel Henderson, PEERSUPPORT

Individual provider Peer Specialist · NPI 1629864038

Daniel Henderson, PEERSUPPORT is a Peer Specialist in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2025

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 006028 (OH)

Record details

NPI number1629864038
Entity typeIndividual (Type 1)
GenderMale
Credentials PEERSUPPORT
Sole proprietorYes
NPI enumeratedApril 15, 2025
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025
Mailing address5209 Kenridge Dr, Blue Ash, OH 45242-4833

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