Independent US Healthcare Provider Directory & Public Medical Database
Deactivated NPI 1861023319 Deactivated / Inactive NPI Male Practitioner

William Joseph Kelley

Peer Specialist • Waverly, 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, William Kelley has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date February 03, 2020
NPI Deactivation Date December 09, 2020
Total Practice Duration ~1 Years of Practice (2020 – 2020)

Professional Overview & Biography Verified Profile Summary

William Kelley was a registered Peer Specialist practicing in Waverly, OH. Throughout an active medical career spanning 1 years, William Kelley provided care at the practice location at 14574 US HIGHWAY 23 until profile deactivation on 2020-12-09.

Practice Location & Contact Primary Location

Practice Address

14574 Us Highway 23

Waverly, OH 456909373

Telephone 7409476727
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Waverly, OH

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

Practicing in Waverly, 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

State License OH 0001446

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
Stephen Bates , LPN

Licensed Practical Nurse

NPI 1003302373

Licensed Practical Nurse

Kori Lavey

Counselor - Addiction (Substance Use Disorder)

NPI 1003627118
Maxie Leiby

Counselor - Addiction (Substance Use Disorder)

NPI 1013864289
Bethanie Rife

Counselor - Addiction (Substance Use Disorder)

NPI 1023732856
Kimra Winters

Counselor - Addiction (Substance Use Disorder)

NPI 1023973765
Yvonne Blackburn , CMS

Counselor - Addiction (Substance Use Disorder)

NPI 1043800725

Career & Practice History Timeline

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

7 Historical Events
⚠️
NPI Profile Deactivated December 09, 2020

Record deactivated on December 09, 2020

NPI Profile Active February 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location February 03, 2020

Registered at 14574 US HIGHWAY 23, WAVERLY, OH 456909373 (Tel: 7409476727)

📍
Updated Business Mailing Address February 03, 2020

Registered at 2097 WESTERN AVE APT 405, CHILLICOTHE, OH 456017522

👤
Provider Name / Credentials Updated February 03, 2020

Recorded as WILLIAM KELLEY

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2020

Peer Specialist (License #0001446 in OH)

🟢
Initial NPI Registration & Enumeration February 03, 2020

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 William Kelley. Be the first to share your experience!

Sign in to leave a review for William Kelley

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

NPI Administrative Meta

NPI Number: 1861023319
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: February 03, 2020
Last Update: February 03, 2020
Deactivation Date: December 09, 2020

Mailing Address

2097 Western Ave Apt 405

Chillicothe, OH 456017522

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.