Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1295444727 Deactivated / Inactive NPI Female Practitioner

Michelle Watson , CERT PEER SUPPORTER

Peer Specialist • Canton, OH

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Michelle Watson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 23, 2022
NPI Deactivation Date July 17, 2024
Total Practice Duration ~2 Years of Practice (2022 – 2024)

Professional Overview & Biography Verified Profile Summary

Michelle Watson, CERT PEER SUPPORTER was a registered Peer Specialist practicing in Canton, OH. Throughout an active medical career spanning 2 years, Michelle Watson provided care at the practice location at 2421 13TH ST NW until profile deactivation on 2024-07-17.

Practice Location & Contact Primary Location

Practice Address

2421 13th St Nw

Canton, OH 447083116

Telephone 3304526000
Fax 3304523875
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Canton, OH

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

Practicing in Canton, 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

Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH APS.003473

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
Darlene Baad

Social Worker

NPI 1003539883
Rhonda Jones

Case Manager/Care Coordinator

NPI 1013794239
NPI 1023287430

Licensed Professional Counselor

Mark Bowman , LPN

Licensed Practical Nurse

NPI 1033857222

Licensed Practical Nurse

Pamela Harris-Betty , LISW

Social Worker - Clinical

NPI 1083071955

Licensed Independent Social Worker

Danielle Evans , SWT

Social Worker - Clinical

NPI 1083487813

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated July 17, 2024

Record deactivated on July 17, 2024

NPI Profile Active November 23, 2022

NPI status registered as active in NPPES database

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Updated Practice Location November 23, 2022

Registered at 2421 13TH ST NW, CANTON, OH 447083116 (Tel: 3304526000)

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Updated Business Mailing Address November 23, 2022

Registered at 5982 RHODES RD, KENT, OH 442408100 (Tel: 3306731347)

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Provider Name / Credentials Updated November 23, 2022

Recorded as MICHELLE WATSON, CERT PEER SUPPORTER

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2022

Peer Specialist (License #APS.003473 in OH)

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Initial NPI Registration & Enumeration November 23, 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: 1295444727
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 23, 2022
Last Update: November 23, 2022
Deactivation Date: July 17, 2024

Mailing Address

5982 Rhodes Rd

Kent, OH 442408100

Phone: 3306731347

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.