Individual provider · Type 1 NPI

Stacy Ann Pena

Peer Specialist · Mentor, OH

NPI number 1699658260 Active

Practice location

9083 Mentor Ave
Mentor, OH 44060-6462

Call (216) 409-5261 Map

Mailing address

430 Independence St
Fairport Harbor, OH 44077-5640

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XAPS.006463 (OH)

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 1699658260

Stacy Ann Pena's National Provider Identifier is 1699658260, issued on Jul 30, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Mentor, OH. The record was last updated on Jul 30, 2025.