Kenyetta S Douglass
Peer Specialist • Canton, OH
Professional Overview & Biography Verified Profile Summary
Kenyetta Douglass is a registered healthcare professional specializing in Peer Specialist in Canton, OH. Practice services are available at 131 WERTZ AVE NW under active NPI credentials.
Practice Location & Contact Primary Location
131 Wertz Ave Nw
Canton, OH 447084171
Specialty Benchmarks & Practice Insights
Comparative analytics for Peer Specialist in Canton, OH
Practicing in Canton, OH (3139 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
CMS Verified: 2025-03-27NUCC 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
Peer Specialist
Peer Specialist
Peer Specialist
Counselor - Addiction (Substance Use Disorder)
Peer Specialist
Peer Specialist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
NPI status registered as active in NPPES database
Registered at 131 WERTZ AVE NW, CANTON, OH 447084171 (Tel: 2342148470)
Registered at 131 WERTZ AVE. NW, CANTON, OH 447084171 (Tel: 2342148470)
Recorded as KENYETTA DOUGLASS
Peer Specialist (License #APS.005628 in OH)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
131 Wertz Ave. Nw
Canton, OH 447084171
Phone: 2342148470
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