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Active NPI 1265158273 Individual Practitioner Male Practitioner

Matthew Kellough , PRS

Peer Specialist • Lancaster, OH

Professional Overview & Biography Verified Profile Summary

Matthew Kellough, PRS is a registered healthcare professional specializing in Peer Specialist in Lancaster, OH. Practice services are available at 551 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

551 E Main St

Lancaster, OH 431303809

Telephone 6144046008
Associated Practice Facility / Clinic
🏢 The Creed Of Recovery, Llc Facility NPI 1578085239

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Lancaster, OH

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

Practicing in Lancaster, 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: 2022-10-13
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH APS.003590

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

Definition to come...

Practice Associates & Co-Workers

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

22 Associated Practitioners
John Entingh , LSW, LICDC

Social Worker - Clinical

NPI 1093267486

Licensed Social Worker, LICDC

Sophia Kline

Case Manager/Care Coordinator

NPI 1104752401
Nathaniel Cox

Counselor - Addiction (Substance Use Disorder)

NPI 1144994245
Charles Branch , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1306434311

Chemical Dependency Counselor Assistant

River Calhoun

Case Manager/Care Coordinator

NPI 1316603236
Aaron Smith , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1356939367

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 October 13, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location October 13, 2022

Registered at 551 E MAIN ST, LANCASTER, OH 431303809 (Tel: 6144046008)

📍
Updated Business Mailing Address October 13, 2022

Registered at PO BOX 243, SUGAR GROVE, OH 431550243 (Tel: 6144046008)

👤
Provider Name / Credentials Updated October 13, 2022

Recorded as MATTHEW KELLOUGH, PRS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 13, 2022

Counselor

🟢
Initial NPI Registration & Enumeration October 12, 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: 1265158273
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 12, 2022
Last Update: October 13, 2022
Sole Proprietor: No

Mailing Address

Po Box 243

Sugar Grove, OH 431550243

Phone: 6144046008

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.