Individual provider · Type 1 NPI

Michael Stafford, PRS

Peer Specialist · Groveport, OH

NPI number 1417769795 Active

Practice location

6020 Groveport Rd
Groveport, OH 43125-1005

Fax (855) 604-0927

Mailing address

211 S 5th St
Columbus, OH 43215-5203

Other practice locations

  • 4998 W Broad St, Columbus, OH 43228-1647 · (614) 754-8051

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XAPS.004714 (OH)
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1417769795

Michael Stafford, PRS's National Provider Identifier is 1417769795, issued on Jan 23, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Groveport, OH. The record was last updated on Sep 23, 2026.