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Active NPI 1225894959 Individual Practitioner Male Practitioner

Kenneth Daniel Collins , CPSW, CSHPS

Peer Specialist • Gallup, NM

Professional Overview & Biography Verified Profile Summary

Kenneth Collins, CPSW, CSHPS is a registered healthcare professional specializing in Peer Specialist in Gallup, NM. Practice services are available at 2915 W HISTORIC HIGHWAY 66 RM 1203 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2915 W Historic Highway 66 Rm 1203

Gallup, NM 873016812

Telephone 5058701483
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Gallup, NM

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
8 Specialists

Practicing in Gallup, NM (584 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: 2024-03-08
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License NM 1336

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

3 Associated Practitioners
Curtis Phillips

Counselor - Addiction (Substance Use Disorder)

NPI 1174044929
Clarence Enos , LCMSW

Social Worker - Clinical

NPI 1306279559
Bernie Montano , LSAA

Counselor - Addiction (Substance Use Disorder)

NPI 1811417751

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active March 08, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 08, 2024

Registered at 2915 W HISTORIC HIGHWAY 66 RM 1203, GALLUP, NM 873016812 (Tel: 5058701483)

📍
Updated Business Mailing Address March 08, 2024

Registered at PO BOX 3809, GALLUP, NM 873053809 (Tel: 5053301884)

👤
Provider Name / Credentials Updated March 08, 2024

Recorded as KENNETH COLLINS, CPSW, CSHPS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2024

Peer Specialist (License #1336 in NM)

🟢
Initial NPI Registration & Enumeration February 21, 2024

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: 1225894959
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 21, 2024
Last Update: March 08, 2024
Sole Proprietor: No

Mailing Address

Po Box 3809

Gallup, NM 873053809

Phone: 5053301884

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.