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Active NPI 1518773142 Individual Practitioner Male Practitioner

Theodore Laurence Walker , PRSS

Peer Specialist • Ravenna, OH

Professional Overview & Biography Verified Profile Summary

Theodore Walker, PRSS is a registered healthcare professional specializing in Peer Specialist in Ravenna, OH. Practice services are available at 223 W MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

223 W Main St

Ravenna, OH 442662741

Telephone 3305774099
Fax 8442743002
Associated Practice Facility / Clinic
🏢 Ravenna Optical Inc Facility NPI 1063520765

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Ravenna, OH

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

Practicing in Ravenna, 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: 2024-12-09
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH APS.005855

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

7 Associated Practitioners
Jason Grech , LPC

Counselor - Professional

NPI 1326422072

Licensed Professional Counselor

Meghan Short , PRSS

Peer Specialist

NPI 1548026370
Charlene Polasky , MSN, APRN, PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health

NPI 1558027581

Master of Science in Nursing, Advanced Practice Registered Nurse, Psychiatric-Mental Health Nurse Practitioner (Board Certified)

Mike Guliano

Counselor - Mental Health

NPI 1568072981
Kayla Barron

Counselor - Mental Health

NPI 1659981603
Richard Latimer , PSS

Peer Specialist

NPI 1760129217

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active December 09, 2024

NPI status registered as active in NPPES database

📍
Updated Practice Location December 09, 2024

Registered at 223 W MAIN ST, RAVENNA, OH 442662741 (Tel: 3305774099)

📍
Updated Business Mailing Address December 09, 2024

Registered at 223 W MAIN ST, RAVENNA, OH 442662741 (Tel: 3305774099)

👤
Provider Name / Credentials Updated December 09, 2024

Recorded as THEODORE WALKER, PRSS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 09, 2024

Peer Specialist (License #APS.005855 in OH)

🟢
Initial NPI Registration & Enumeration December 09, 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: 1518773142
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 09, 2024
Last Update: December 09, 2024
Sole Proprietor: No

Mailing Address

223 W Main St

Ravenna, OH 442662741

Phone: 3305774099

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.