PETER MICHAEL KENYON CDCA NPI 1922691351

NPI Information

NPI: 1922691351
Provider Name: PETER MICHAEL KENYON, CDCA
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
600 RUSSELL RD
MANSFIELD, OH
ZIP 44903
Phone: (419) 612-6372
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Peter Michael Kenyon, CDCA is an addiction (substance use disorder) counselor in Mansfield, OH. Peter Michael Kenyon, CDCA NPI is 1922691351. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

600 RUSSELL RD
MANSFIELD, OH
ZIP 44903-931
Phone: (419) 612-6372

The enumeration date for this NPI number is 2/17/2021 and was last updated on 9/21/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CDCA.185626	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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