Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164364048 Individual Practitioner Male Practitioner

Kyle Black

Peer Specialist • Whitehall, OH

Professional Overview & Biography Verified Profile Summary

Kyle Black is a registered healthcare professional specializing in Peer Specialist in Whitehall, OH. Practice services are available at 3616 E MAIN ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3616 E Main St

Whitehall, OH 432132913

Telephone 8885867168
Associated Practice Facility / Clinic
🏢 Dove Whitehall, Llc Facility NPI 1588537039

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Whitehall, OH

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

Practicing in Whitehall, 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: 2026-04-08
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License OH APS.007243

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

5 Associated Practitioners
Jeffrey Burkheart

Social Worker

NPI 1295605079
Todd Barger

Peer Specialist

NPI 1518897503
Jenna Langford , CDCA

Counselor - Addiction (Substance Use Disorder)

NPI 1548192289

Chemical Dependency Counselor Assistant

Kyle Jerman

Peer Specialist

NPI 1710815162
Lucas Boff , PMHNP

Nurse Practitioner - Psychiatric/Mental Health

NPI 1891613014

Psychiatric-Mental Health Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active April 08, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 08, 2026

Registered at 3616 E MAIN ST, WHITEHALL, OH 432132913 (Tel: 8885867168)

📍
Updated Business Mailing Address April 08, 2026

Registered at 5668 QUAIL RUN DR, GROVE CITY, OH 431238505

👤
Provider Name / Credentials Updated April 08, 2026

Recorded as KYLE BLACK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2026

Peer Specialist (License #APS.007243 in OH)

🟢
Initial NPI Registration & Enumeration April 08, 2026

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: 1164364048
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2026
Last Update: April 08, 2026
Sole Proprietor: No

Mailing Address

5668 Quail Run Dr

Grove City, OH 431238505

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.