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

Talessia Lataina Martin, CDCAPEERSUPPORT

Individual provider Peer Specialist · NPI 1578387577

Talessia Lataina Martin, CDCAPEERSUPPORT is an Undefined Non-Physician Type (Specify) in Cleveland, Ohio. Qualified in 2016, 10 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Ohio.

Years since qualifying
10
Licensed in
OH
In the registry since
2024
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Practice location Address checks out

3033 Project Ave
Cleveland, OH 44115-3028
Phone: (216) 262-6150
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1050 Lenox Park Blvd Ne Apt 15102, Atlanta, GA 30319-5856 — (216) 262-6150

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence APS.005740 (OH)

Record details

NPI number1578387577
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDCAPEERSUPPORT
Sole proprietorYes
NPI enumeratedNovember 14, 2024
Last updated in NPPESNovember 14, 2024
Certification dateNovember 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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