Individual provider · Type 1 NPI

Johnny Roman

Peer Specialist · Eagan, MN

NPI number 1740169606 Active

Practice location

1440 Duckwood Dr Ste 500
Eagan, MN 55122-1399

Call (952) 955-9399 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000X8252 (MN)

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 1740169606

Johnny Roman's National Provider Identifier is 1740169606, issued on Aug 27, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Eagan, MN. The record was last updated on Aug 27, 2025.