Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1417449083 Individual Practitioner Male Practitioner

Gerald Michael Ottenwalder , KCPM

Peer Specialist • Burlington, KS

Professional Overview & Biography Verified Profile Summary

Gerald Ottenwalder, KCPM is a registered healthcare professional specializing in Peer Specialist in Burlington, KS. Practice services are available at 420 KENNEDY ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

420 Kennedy St

Burlington, KS 668391120

Telephone 6203642606
Associated Practice Facility / Clinic
🏢 Therapy Services Llc Facility NPI 1730203811

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Burlington, KS

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
1 Specialists

Practicing in Burlington, KS (31 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners
Ceara Shaughnessy

Counselor - Addiction (Substance Use Disorder)

NPI 1104342427
Dr. James Costello , PhD

Counselor - Addiction (Substance Use Disorder)

NPI 1144733981

Doctor of Philosophy (Ph.D.)

Linda Snyder , BSRCE CADC

Counselor - Addiction (Substance Use Disorder)

NPI 1194982520

BSRCECADC

NPI 1245652015

Bachelor of Arts

NPI 1528447620

Master of Arts

NPI 1679914923

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 30, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 30, 2018

Registered at 420 KENNEDY ST, BURLINGTON, KS 668391120 (Tel: 6203642606)

📍
Updated Business Mailing Address May 30, 2018

Registered at 625 SHERMAN ST, EMPORIA, KS 668012401 (Tel: 6207572661)

👤
Provider Name / Credentials Updated May 30, 2018

Recorded as GERALD OTTENWALDER, KCPM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 30, 2018

Peer Specialist

🟢
Initial NPI Registration & Enumeration May 30, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Gerald Ottenwalder. Be the first to share your experience!

Sign in to leave a review for Gerald Ottenwalder

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1417449083
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 30, 2018
Last Update: May 30, 2018
Sole Proprietor: No

Mailing Address

625 Sherman St

Emporia, KS 668012401

Phone: 6207572661

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.