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Kaitlyn Genesis Cross

Peer Specialist in Beachwood, OH. Individual provider (NPI-1).

NPI number1982162400
StatusActive
Last updated in NPPESMar 4, 2019

Details

NPI
1982162400
Entity type
Individual (NPI-1)
Name
Kaitlyn Genesis Cross
Sex
Female
Sole proprietor
No
Enumeration date
Mar 4, 2019
Last updated
Mar 4, 2019

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
175T00000X Peer Specialist–OHYes

Practice location

3637 Green Rd Ste 3g
Beachwood, OH 44122-5717

Phone 216-220-8774

Mailing address

5554 Sunset Ln
Parma, OH 44134-2086

Phone 216-375-6670

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Peer Specialist providers in Beachwood, OH

All 45 Peer Specialist providers in Beachwood · All 3,297 providers in Beachwood

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