Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1497307946 Individual Practitioner Male Practitioner

Kenneth Charles Bishop , CDCA, PEER SUPPOT

Peer Specialist • Lyndhurst, OH

Professional Overview & Biography Verified Profile Summary

Kenneth Bishop, CDCA, PEER SUPPOT is a registered healthcare professional specializing in Peer Specialist in Lyndhurst, OH. Practice services are available at 5257 ASHWOOD DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

5257 Ashwood Dr

Lyndhurst, OH 441241037

Telephone 2168709796

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Lyndhurst, OH

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

Practicing in Lyndhurst, 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

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.

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 15, 2019

NPI status registered as active in NPPES database

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Updated Practice Location July 15, 2019

Registered at 5257 ASHWOOD DR, LYNDHURST, OH 441241037 (Tel: 2168709796)

📍
Updated Business Mailing Address July 15, 2019

Registered at 5257 ASHWOOD DR, LYNDHURST, OH 441241037 (Tel: 2168709796)

👤
Provider Name / Credentials Updated July 15, 2019

Recorded as KENNETH BISHOP, CDCA,PEER SUPPOT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 15, 2019

Peer Specialist

🟢
Initial NPI Registration & Enumeration July 15, 2019

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: 1497307946
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 15, 2019
Last Update: July 15, 2019
Sole Proprietor: No

Mailing Address

5257 Ashwood Dr

Lyndhurst, OH 441241037

Phone: 2168709796

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.