Active NPI 1417682790 Individual Practitioner Male Practitioner

Kenneth Paul Bodine

Peer Specialist • Ashtabula, OH

Professional Overview & Biography Verified Profile Summary

Kenneth Bodine is a registered healthcare professional specializing in Peer Specialist in Ashtabula, OH. Practice services are available at 2801 C CT under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2801 C Ct

Ashtabula, OH 440044577

Telephone 4409980722

Associated Practice Facility / Clinic

🏢 Community Counseling Center Of Ashtabula County Facility NPI 1720029622

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Ashtabula, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 6.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Ashtabula, 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: 2022-07-20

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

Kayla Frye

Counselor - Addiction (Substance Use Disorder)

NPI 1003767963

Amanda Baker

Peer Specialist

NPI 1023601820

Lora Peaspanen

Case Manager/Care Coordinator

NPI 1023764305

Stefanie Williams

Case Manager/Care Coordinator

NPI 1033710603

Jessie Beals

Counselor - Addiction (Substance Use Disorder)

NPI 1053818161

Clayton Brown , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1053818203

Chemical Dependency Counselor Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 20, 2022

NPI status registered as active in NPPES database

📍

Updated Practice Location July 20, 2022

Registered at 2801 C CT, ASHTABULA, OH 440044577 (Tel: 4409980722)

📍

Updated Business Mailing Address July 20, 2022

Registered at 2801 C CT, ASHTABULA, OH 440044577 (Tel: 4409980722)

👤

Provider Name / Credentials Updated July 20, 2022

Recorded as KENNETH BODINE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 20, 2022

Peer Specialist

🟢

Initial NPI Registration & Enumeration July 20, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1417682790

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 20, 2022

Last Update: July 20, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2801 C Ct

Ashtabula, OH 440044577

Phone: 4409980722

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.