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

Joseph J Supina IV, CDCA, PRS

Individual provider Peer Specialist · NPI 1023537446

Joseph J Supina IV, CDCA, PRS is a Peer Specialist in Green Springs, Ohio. Licensed in Ohio. Registered with an NPI since 2017.

Licensed in
OH
In the registry since
2017
Specialties on file
2

Practice location Address checks out

430 N Broadway St
Green Springs, OH 44836-9734
Phone: (844) 534-3638
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 CDCA.190187 (OH)
Peer Specialist Taxonomy 175T00000X · Licence APS.001751 (OH)

Record details

NPI number1023537446
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA , PRS
Sole proprietorNo
NPI enumeratedSeptember 18, 2017
Last updated in NPPESApril 18, 2025
Certification dateApril 18, 2025

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