Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1639610595 Individual Practitioner Male Practitioner

Grant Charles Kirkwood , CDCA

Peer Specialist • Andover, OH

Professional Overview & Biography Verified Profile Summary

Grant Kirkwood, CDCA is a registered healthcare professional specializing in Peer Specialist in Andover, OH. Practice services are available at 158 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

158 W Main St

Andover, OH 440039318

Telephone 2163534723
Associated Practice Facility / Clinic
🏢 Impact Recovery Services Facility NPI 1306613823

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Andover, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 6.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Andover, OH (3139 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: 2024-12-05
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH 000120

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.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH 165555

Definition to come...

Behavior Technician

NUCC Taxonomy Code: 106S00000X

The behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

Practice Associates & Co-Workers

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

9 Associated Practitioners
Ariana Gonzalez

Peer Specialist

NPI 1053123174
Sarah Martin

Case Manager/Care Coordinator

NPI 1174326458
NPI 1427539519

LCDCII

Keith Ward

Case Manager/Care Coordinator

NPI 1497325872
Caitlin Jones

Counselor - Addiction (Substance Use Disorder)

NPI 1497570691
Stephanie Profera

Social Worker

NPI 1578078549

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location December 05, 2024

Registered at 158 W MAIN ST, ANDOVER, OH 440039318 (Tel: 2163534723)

📍
Updated Business Mailing Address December 05, 2024

Registered at 158 W MAIN ST, ANDOVER, OH 440039318

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 05, 2024

Counselor (License #165555 in OH)

📍
Updated Practice Location December 27, 2023

Registered at 3622 BELMONT AVE STE 21, YOUNGSTOWN, OH 445051444 (Tel: 2347191885)

📍
Updated Business Mailing Address December 27, 2023

Registered at 3622 BELMONT AVE STE 21, YOUNGSTOWN, OH 445051444

NPI Profile Active March 13, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 13, 2017

Registered at 2737 YOUNGSTOWN RD SE, WARREN, OH 444845002 (Tel: 3309844270)

📍
Updated Business Mailing Address March 13, 2017

Registered at 2737 YOUNGSTOWN RD SE, WARREN, OH 444845002 (Tel: 3309844270)

👤
Provider Name / Credentials Updated March 13, 2017

Recorded as GRANT KIRKWOOD, CDCA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 13, 2017

Behavior Technician

🟢
Initial NPI Registration & Enumeration March 13, 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: 1639610595
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 13, 2017
Last Update: December 05, 2024
Sole Proprietor: Yes

Mailing Address

158 W Main St

Andover, OH 440039318

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.