Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1326755729 Individual Practitioner Male Practitioner

Kenton Durham

Counselor • Xenia, OH

Professional Overview & Biography Verified Profile Summary

Kenton Durham is a registered healthcare professional specializing in Counselor in Xenia, OH. Practice services are available at 2960 W ENON RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2960 W Enon Rd

Xenia, OH 453858548

Telephone 9372724925
Fax 9379844346
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Xenia, OH

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.7 Yrs
State Avg: 13.0 Yrs
Regional Practice Density
33 Specialists

Practicing in Xenia, OH (4163 Statewide)

Telehealth Adoption Rate
3.0% 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: 2024-05-07
Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

State License OH M.2400388-TRNE

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH CDCA.182506

Definition to come...

Counselor - Addiction (Substance Use Disorder)

NUCC Taxonomy Code: 101YA0400X

State License OH CDCA.186062

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
0002801 (OH)

Practice Associates & Co-Workers

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

26 Associated Practitioners
Brett Bodmer

Case Management

NPI 1134086044
Stephen Wilson , PRS

Peer Specialist

NPI 1205517174
Adam Gardner

Counselor - Addiction (Substance Use Disorder)

NPI 1285502732
Rebecca Bickett , LPN

Licensed Practical Nurse

NPI 1295567683

Licensed Practical Nurse

Nathan Willis , CPRS

Peer Specialist

NPI 1386437655
Shawn Cline

Peer Specialist

NPI 1396439295

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location May 07, 2024

Registered at 2960 W ENON RD, XENIA, OH 453858548 (Tel: 9372724925)

📍
Updated Business Mailing Address May 07, 2024

Registered at 2960 W ENON RD, XENIA, OH 453858548 (Tel: 9372724925)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 18, 2023

Counselor (License #CDCA.182506 in OH)

NPI Profile Active November 04, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location November 04, 2022

Registered at 1421 PARKER CT, SPRINGFIELD, OH 455042855 (Tel: 5139414999)

📍
Updated Business Mailing Address November 04, 2022

Registered at 6460 HARRISON AVE STE 200, CINCINNATI, OH 452477958 (Tel: 5139414999)

👤
Provider Name / Credentials Updated November 04, 2022

Recorded as KENTON DURHAM

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 04, 2022

Counselor

🟢
Initial NPI Registration & Enumeration November 04, 2022

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: 1326755729
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 04, 2022
Last Update: May 07, 2024
Sole Proprietor: Yes

Mailing Address

2960 W Enon Rd

Xenia, OH 453858548

Phone: 9372724925

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.