CMS-1500 Box 24J / 33a • NPI
1104532258
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
175T00000X
Licensed & Credentialed Peer Specialist
Box 32 Service Location & ZIP+4
1212 TOD PL NW, WARREN, OH, 44485-2475
✓ 9-Digit EDI 837 ZIP+4 (44485-2475)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1104532258 (FRANK KOTSOL, CPRS) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1104532258 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | FRANK KOTSOL, CPRS |
| Plain-English Specialty | Licensed & Credentialed Peer Specialist NUCC Code: 175T00000X (Peer Specialist) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 1212 TOD PL NW, WARREN, OH, 44485-2475 |
| Practice Telephone / Fax | Tel: (330) 469-6822 |
| Administrative Mailing Address | 485 PORTER AVE, CAMPBELL, OH, 44405-1447 |
| Enumeration & Last Sync | Enumerated: 2023-01-23 | CMS Record Updated: 2023-01-23 |
Clinic Location, Accessibility & Directions
📍 Practice Location & Patient Access
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Plain-English Taxonomy & CMS Crosswalk (175T00000X)
What Does Taxonomy Code 175T00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 175T00000X translates to:
"Licensed & Credentialed Peer Specialist"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (FRANK KOTSOL, CPRS)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
175T00000X — Peer SpecialistPlain English: Licensed & Credentialed Peer Specialist | State: N/A | License: Verified | Primary: Yes (Primary) |
Medical Billing, RCM & Hospital Credentialing Teams:
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