Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902496342 Individual Practitioner Female Practitioner

Kandyce Ivory Wilson

Peer Specialist • Rocky River, OH

Professional Overview & Biography Verified Profile Summary

Kandyce Wilson is a registered healthcare professional specializing in Peer Specialist in Rocky River, OH. Practice services are available at 1692 LAKEVIEW AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1692 Lakeview Ave

Rocky River, OH 441162443

Telephone 2167603563

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Rocky River, OH

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

Practicing in Rocky River, 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: 2021-01-18
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 January 20, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 20, 2021

Registered at 1692 LAKEVIEW AVE, ROCKY RIVER, OH 441162443 (Tel: 2167603563)

📍
Updated Business Mailing Address January 20, 2021

Registered at 1692 LAKEVIEW AVE, ROCKY RIVER, OH 441162443 (Tel: 2167603563)

👤
Provider Name / Credentials Updated January 20, 2021

Recorded as KANDYCE WILSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2021

Peer Specialist

🟢
Initial NPI Registration & Enumeration January 20, 2021

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: 1902496342
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 20, 2021
Last Update: January 20, 2021
Sole Proprietor: Yes

Mailing Address

1692 Lakeview Ave

Rocky River, OH 441162443

Phone: 2167603563

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.