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Deactivated NPI 1376241232 Deactivated / Inactive NPI Female Practitioner

Kylie Jenkins

Peer Specialist • Lima, 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, Kylie Jenkins has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 20, 2023
NPI Deactivation Date March 13, 2025
Total Practice Duration ~2 Years of Practice (2023 – 2025)

Professional Overview & Biography Verified Profile Summary

Kylie Jenkins was a registered Peer Specialist practicing in Lima, OH. Throughout an active medical career spanning 2 years, Kylie Jenkins provided care at the practice location at 924 N CABLE RD until profile deactivation on 2025-03-13.

Practice Location & Contact Primary Location

Practice Address

924 N Cable Rd

Lima, OH 458051704

Telephone 4199693125

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Lima, OH

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

Practicing in Lima, 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.003198

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

17 Associated Practitioners
Tori Stout

Peer Specialist

NPI 1083337539
Ashley Staley

Case Manager/Care Coordinator

NPI 1154063998
NPI 1285206706
Sullivan Doughty

Case Manager/Care Coordinator

NPI 1336805464
Jamie Declercq , LISW-SUPV

Social Worker - Clinical

NPI 1366734279

LISWSUPV

Anyssa Manley

Case Manager/Care Coordinator

NPI 1386300481

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 March 13, 2025

Record deactivated on March 13, 2025

NPI Profile Active February 20, 2023

NPI status registered as active in NPPES database

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Updated Practice Location February 20, 2023

Registered at 924 N CABLE RD, LIMA, OH 458051704 (Tel: 4199693125)

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Updated Business Mailing Address February 20, 2023

Registered at 924 N CABLE RD, LIMA, OH 458051704 (Tel: 4199693125)

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Provider Name / Credentials Updated February 20, 2023

Recorded as KYLIE JENKINS

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 20, 2023

Peer Specialist (License #APS.003198 in OH)

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Initial NPI Registration & Enumeration February 20, 2023

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: 1376241232
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 20, 2023
Last Update: February 20, 2023
Deactivation Date: March 13, 2025

Mailing Address

924 N Cable Rd

Lima, OH 458051704

Phone: 4199693125

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.