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

Gerald Lee Baccus

Individual provider Peer Specialist · NPI 1073229001

Gerald Lee Baccus is a Peer Specialist in Dayton, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2023
Specialties on file
2

Practice location Address checks out

2400 W Stroop Rd
Dayton, OH 45439-2041
Phone: (614) 634-0195
Show map & directions

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

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 183243 (OH)
Peer Specialist Taxonomy 175T00000X (OH)

Record details

NPI number1073229001
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 24, 2023
Last updated in NPPESSeptember 15, 2025
Certification dateSeptember 15, 2025
Mailing addressPo Box 10232, Dayton, OH 45402-7232

Other providers in Dayton