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Active NPI 1356191035 Individual Practitioner Male Practitioner

Benjamin Kelly , PRS

Peer Specialist • Mc Dermott, OH

Professional Overview & Biography Verified Profile Summary

Benjamin Kelly, PRS is a registered healthcare professional specializing in Peer Specialist in Mc Dermott, OH. Practice services are available at 9620 CAREYS RUN POND CREEK RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

9620 Careys Run Pond Creek Rd

Mc Dermott, OH 456523902

Telephone 7408586683
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Mc Dermott, OH

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

Practicing in Mc Dermott, 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: 2024-03-25
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH APS.004918

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.

Secondary Practice Locations

7175 State Route 104

Mc Dermott, OH 456528899

Phone: 7408586683

Practice Associates & Co-Workers

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

39 Associated Practitioners
Clayton Meadows , CMS, QMHS

Case Manager/Care Coordinator

NPI 1043097397
Michael Hall

Case Manager/Care Coordinator

NPI 1245692359
Jarodd Lawson , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1255831376

Chemical Dependency Counselor Assistant

Bryan Vest , CMS, QMHS

Case Manager/Care Coordinator

NPI 1265321921
Todd Davis , LCDC II

Counselor - Addiction (Substance Use Disorder)

NPI 1346604626

LCDCII

Jonah Lawson , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1356127278

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 March 25, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location March 25, 2024

Registered at 9620 CAREYS RUN POND CREEK RD, MC DERMOTT, OH 456523902 (Tel: 7408586683)

📍
Updated Business Mailing Address March 25, 2024

Registered at 546 2ND ST APT 11, PORTSMOUTH, OH 456623886

👤
Provider Name / Credentials Updated March 25, 2024

Recorded as BENJAMIN KELLY, PRS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 25, 2024

Peer Specialist (License #APS.004918 in OH)

🟢
Initial NPI Registration & Enumeration March 25, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1356191035
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 25, 2024
Last Update: March 25, 2024
Sole Proprietor: Yes

Mailing Address

546 2nd St Apt 11

Portsmouth, OH 456623886

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.