Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1306665195 Individual Practitioner

Ronald Todd Provance , PRS

Peer Specialist • Massillon, OH

Professional Overview & Biography Verified Profile Summary

Ronald Provance, PRS is a registered healthcare professional specializing in Peer Specialist in Massillon, OH. Practice services are available at 1680 NAVE RD SE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1680 Nave Rd Se

Massillon, OH 446469604

Telephone 3308308740
Fax 3308300912
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Massillon, OH

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

Practicing in Massillon, 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: 2024-12-04
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH APS.005768

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
Kelly Mccarthy , LCDCII

Counselor - Addiction (Substance Use Disorder)

NPI 1043736192
Jennifer Jinks , RN

Registered Nurse

NPI 1053719146

Registered Nurse

Patricia Hayes , LPN

Licensed Practical Nurse

NPI 1053839183

Licensed Practical Nurse

Rebecca Ajah , MSW, LISW

Social Worker - Clinical

NPI 1053881847

Master of Social Work, Licensed Independent Social Worker

Tiffany Stephan , LPC

Counselor - Mental Health

NPI 1063726263

Licensed Professional Counselor

Matthew Bell , CDCA, PRS

Counselor - Addiction (Substance Use Disorder)

NPI 1083257463

Chemical Dependency Counselor Assistant, PRS

Career & Practice History Timeline

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

8 Historical Events
👤
Provider Name / Credentials Updated December 04, 2024

Recorded as RONALD PROVANCE, PRS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2024

Peer Specialist (License #APS.005768 in OH)

NPI Profile Active October 08, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location October 08, 2024

Registered at 1680 NAVE RD SE, MASSILLON, OH 446469604 (Tel: 3308308740)

📍
Updated Business Mailing Address October 08, 2024

Registered at 625 CLEVELAND AVE NW, CANTON, OH 447021805 (Tel: 3304550374)

👤
Provider Name / Credentials Updated October 08, 2024

Recorded as RONALD PROVANCE

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 08, 2024

Peer Specialist

🟢
Initial NPI Registration & Enumeration October 08, 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: 1306665195
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 08, 2024
Last Update: December 04, 2024
Sole Proprietor: No

Mailing Address

625 Cleveland Ave Nw

Canton, OH 447021805

Phone: 3304550374

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.