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

Mr. Phoenix Santiago Johnson

Individual provider Peer Specialist · NPI 1669293338

Mr. Phoenix Santiago Johnson is a Peer Specialist in Akron, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2024

Practice location Address checks out

40 E Glenwood Ave
Akron, OH 44304-1136
Phone: (330) 996-2222
Show map & directions

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

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS.005192 (OH)

Record details

NPI number1669293338
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedOctober 24, 2024
Last updated in NPPESOctober 24, 2024
Certification dateOctober 24, 2024

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