Individual provider · Type 1 NPI

Corey Jo Grooms, CDCA

Peer Specialist · Portsmouth, OH

NPI number 1912756792 Active

Practice location

411 Court St
Portsmouth, OH 45662-3932

Fax (740) 876-4005

Mailing address

2065 Stoneridge Dr
Circleville, OH 43113-8956

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Peer Specialist Primary 175T00000XAPS.005750 (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 1912756792

Corey Jo Grooms, CDCA's National Provider Identifier is 1912756792, issued on May 15, 2024. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Portsmouth, OH. The record was last updated on Sep 11, 2025.