IndividualActive
Jack Wolff, PEER SUPPORT
NPI 1265068498 · Peer Specialist · Warren, OH
Provider details
- NPI number
- 1265068498
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Credential
- PEER SUPPORT
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Other Service Providers
Profile Score
Established profile(63/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2737 Youngstown Rd Se
Warren, OH 44484-5002
Phone: (234) 830-5275
Street-level locationGet directions
Mailing address
1767 Drexel Ave Nw
Warren, OH 44485-2121
Additional practice locations (1)
- 4930 Enterprise Dr NwWarren, OH 44481-8706Phone: (234) 830-5275
Registry dates
- Enumerated
- 2020-03-19
- Last updated
- 2025-07-14
- Certified
- 2025-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.