Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1780302117 Deactivated / Inactive NPI Female Practitioner

Kim Jones

Peer Specialist • Toledo, OH

⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Kim Jones has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 22, 2022
NPI Deactivation Date July 19, 2023
Total Practice Duration ~1 Years of Practice (2022 – 2023)

Professional Overview & Biography Verified Profile Summary

Kim Jones was a registered Peer Specialist practicing in Toledo, OH. Throughout an active medical career spanning 1 years, Kim Jones provided care at the practice location at 905 NEBRASKA AVE until profile deactivation on 2023-07-19.

Practice Location & Contact Primary Location

Practice Address

905 Nebraska Ave

Toledo, OH 436074222

Telephone 4194076131
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Toledo, OH

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

Practicing in Toledo, 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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Thomas Roach , DO

Psychiatry & Neurology - Psychiatry

NPI 1003313768

Doctor of Osteopathic Medicine (D.O.)

Clara Colvin

Case Manager/Care Coordinator

NPI 1003335324
Shannon Ward

Case Manager/Care Coordinator

NPI 1003555087
Erin Poulson

Case Manager/Care Coordinator

NPI 1003591959
Jayde Walke

Case Manager/Care Coordinator

NPI 1003741141
Tierra Evans

Case Manager/Care Coordinator

NPI 1013421163

Career & Practice History Timeline

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

8 Historical Events
⚠️
NPI Profile Deactivated July 19, 2023

Record deactivated on July 19, 2023

📍
Updated Business Mailing Address September 27, 2022

Registered at 2005 ASHLAND AVE, TOLEDO, OH 436201703 (Tel: 4198417701)

NPI Profile Active August 22, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location August 22, 2022

Registered at 905 NEBRASKA AVE, TOLEDO, OH 436074222 (Tel: 4194076131)

📍
Updated Business Mailing Address August 22, 2022

Registered at 3125 ILGER AVE, TOLEDO, OH 436061679

👤
Provider Name / Credentials Updated August 22, 2022

Recorded as KIM JONES

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2022

Peer Specialist

🟢
Initial NPI Registration & Enumeration August 22, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Kim Jones. Be the first to share your experience!

Sign in to leave a review for Kim Jones

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1780302117
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2022
Last Update: August 22, 2022
Deactivation Date: July 19, 2023

Mailing Address

3125 Ilger Ave

Toledo, OH 436061679

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.