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Deactivated NPI 1376106237 Deactivated / Inactive NPI Male Practitioner

Kip Barker

Case Manager/Care Coordinator • Willoughby, OH

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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, Kip Barker has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 17, 2019
NPI Deactivation Date February 24, 2020
Total Practice Duration ~1 Years of Practice (2019 – 2020)

Professional Overview & Biography Verified Profile Summary

Kip Barker was a registered Case Manager/Care Coordinator practicing in Willoughby, OH. Throughout an active medical career spanning 1 years, Kip Barker provided care at the practice location at 38882 MENTOR AVE until profile deactivation on 2020-02-24.

Practice Location & Contact Primary Location

Practice Address

38882 Mentor Ave

Willoughby, OH 440947875

Telephone 4405788200
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Case Manager/Care Coordinator in Willoughby, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 7.1 Yrs
Regional Practice Density
179 Specialists

Practicing in Willoughby, OH (35490 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

Case Manager/Care Coordinator Primary Specialty

NUCC Taxonomy Code: 171M00000X

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Tiffany Jones , MD

Psychiatry & Neurology - Psychiatry

NPI 1003082413

Doctor of Medicine (M.D.)

Ashley Focht

Counselor

NPI 1003329079
Fatimaah Fullilove , LSW, LICDC

Social Worker - Clinical

NPI 1003329228

Licensed Social Worker, LICDC

NPI 1003420076

Licensed Professional Clinical Counselor

NPI 1003420738
Clotilda Raymond

Social Worker

NPI 1003436825

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 24, 2020

Record deactivated on February 24, 2020

NPI Profile Active April 17, 2019

NPI status registered as active in NPPES database

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Updated Practice Location April 17, 2019

Registered at 38882 MENTOR AVE, WILLOUGHBY, OH 440947875 (Tel: 4405788200)

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Updated Business Mailing Address April 17, 2019

Registered at 38882 MENTOR AVE, WILLOUGHBY, OH 440947875

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Provider Name / Credentials Updated April 17, 2019

Recorded as KIP BARKER

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Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2019

Case Manager/Care Coordinator

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Initial NPI Registration & Enumeration April 17, 2019

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: 1376106237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2019
Last Update: April 17, 2019
Deactivation Date: February 24, 2020

Mailing Address

38882 Mentor Ave

Willoughby, OH 440947875

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.