Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164142550 Individual Practitioner Male Practitioner

Ryan Jeffrey Hackworth

Peer Specialist • Richmond, MI

Professional Overview & Biography Verified Profile Summary

Ryan Hackworth is a registered healthcare professional specializing in Peer Specialist in Richmond, MI. Practice services are available at 400 STODDARD RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

400 Stoddard Rd

Richmond, MI 480622505

Telephone 8103922167
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Richmond, MI

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

Practicing in Richmond, 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

CMS Verified: 2022-08-29
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
Karen Brooks , LLP, CACII

Counselor - Addiction (Substance Use Disorder)

NPI 1003914805

Licensed Limited Psychologist, CACII

Jacob Pattenaude

Social Worker - Clinical

NPI 1013366194
Katianne Murphy

Counselor - Addiction (Substance Use Disorder)

NPI 1013766724
Michael Maniscalco , MA, LLPC, CACLL

Counselor - Addiction (Substance Use Disorder)

NPI 1023112166

Master of Arts, LLPC, CACLL

Seth Dowling

Social Worker - Clinical

NPI 1023465226
Christine Alcantara , LMSW

Social Worker - Clinical

NPI 1023612090

Licensed Master Social Worker

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 29, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 29, 2022

Registered at 400 STODDARD RD, RICHMOND, MI 480622505 (Tel: 8103922167)

📍
Updated Business Mailing Address August 29, 2022

Registered at 420 HURON AVE APT 2, PORT HURON, MI 480603876 (Tel: 8105251464)

👤
Provider Name / Credentials Updated August 29, 2022

Recorded as RYAN HACKWORTH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 29, 2022

Peer Specialist

🟢
Initial NPI Registration & Enumeration August 29, 2022

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: 1164142550
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 29, 2022
Last Update: August 29, 2022
Sole Proprietor: No

Mailing Address

420 Huron Ave Apt 2

Port Huron, MI 480603876

Phone: 8105251464

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.