Johnathan Anderson
Peer Specialist • Louisa, KY
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Johnathan Anderson has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Johnathan Anderson was a registered Peer Specialist practicing in Louisa, KY. Throughout an active medical career spanning 5 years, Johnathan Anderson provided care at the practice location at 125 S MAIN CROSS ST until profile deactivation on 2024-10-11.
Practice Location & Contact Primary Location
125 S Main Cross St
Louisa, KY 412301065
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Louisa, KY
Practicing in Louisa, KY (1987 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
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
Case Manager/Care Coordinator
Counselor - Professional
Counselor - Addiction (Substance Use Disorder)
Certified Alcohol and Drug Counselor
Peer Specialist
Peer Specialist
Peer Specialist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on October 11, 2024
NPI status registered as active in NPPES database
Registered at 125 S MAIN CROSS ST, LOUISA, KY 412301065 (Tel: 6066380938)
Registered at PO BOX 726, LOUISA, KY 412300726
Recorded as JOHNATHAN ANDERSON
Peer Specialist
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
Po Box 726
Louisa, KY 412300726
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