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Deactivated NPI 1336676287 Deactivated / Inactive NPI Male Practitioner

Benjamin Orr

Peer Specialist • Canton, MI

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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, Benjamin Orr has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 22, 2017
NPI Deactivation Date January 07, 2019
Total Practice Duration ~2 Years of Practice (2017 – 2019)

Professional Overview & Biography Verified Profile Summary

Benjamin Orr was a registered Peer Specialist practicing in Canton, MI. Throughout an active medical career spanning 2 years, Benjamin Orr provided care at the practice location at 43825 MICHIGAN AVE until profile deactivation on 2019-01-07.

Practice Location & Contact Primary Location

Practice Address

43825 Michigan Ave

Canton, MI 481882551

Telephone 7343973088
Associated Practice Facility / Clinic
🏢 Hegira Health, Inc. Facility NPI 1699816553

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Canton, MI

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

Practicing in Canton, MI (1765 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

40 Associated Practitioners
Vanessa Sanders , RN

Registered Nurse - Addiction (Substance Use Disorder)

NPI 1013568633

Registered Nurse

Florence Igbawua

Social Worker

NPI 1023400892
Jonathan Koziel , NP

Family Medicine

NPI 1023595816

Nurse Practitioner

Nikeyta Evans

Licensed Practical Nurse

NPI 1023646049
Kennaya Davis , LPN

Licensed Practical Nurse

NPI 1023734647

Licensed Practical Nurse

Tyler Manns

Counselor - Addiction (Substance Use Disorder)

NPI 1043865918

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated January 07, 2019

Record deactivated on January 07, 2019

NPI Profile Active May 22, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location May 22, 2017

Registered at 43825 MICHIGAN AVE, CANTON, MI 481882551 (Tel: 7343973088)

📍
Updated Business Mailing Address May 22, 2017

Registered at 6491 LAKEVIEW BLVD APT 10204, WESTLAND, MI 481855854

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Provider Name / Credentials Updated May 22, 2017

Recorded as BENJAMIN ORR

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 22, 2017

Peer Specialist

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Initial NPI Registration & Enumeration May 22, 2017

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1336676287
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 22, 2017
Last Update: May 22, 2017
Deactivation Date: January 07, 2019

Mailing Address

6491 Lakeview Blvd Apt 10204

Westland, MI 481855854

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.