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Active NPI 1558193672 Individual Practitioner Male Practitioner

Alva Puckett , CPRS

Peer Specialist • Lancaster, OH

Professional Overview & Biography Verified Profile Summary

Alva Puckett, CPRS 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: 2024-08-16
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH APS.005380

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

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
Matthew Kellough , PRS

Peer Specialist

NPI 1265158273
Charles Branch , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1306434311

Chemical Dependency Counselor Assistant

River Calhoun

Case Manager/Care Coordinator

NPI 1316603236

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 16, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location August 16, 2024

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

📍
Updated Business Mailing Address August 16, 2024

Registered at PO BOX 243, SUGAR GROVE, OH 431550243 (Tel: 6147795287)

👤
Provider Name / Credentials Updated August 16, 2024

Recorded as ALVA PUCKETT, CPRS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 16, 2024

Peer Specialist (License #APS.005380 in OH)

🟢
Initial NPI Registration & Enumeration August 16, 2024

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: 1558193672
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 16, 2024
Last Update: August 16, 2024
Sole Proprietor: Yes

Mailing Address

Po Box 243

Sugar Grove, OH 431550243

Phone: 6147795287

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.