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Deactivated NPI 1336645944 Deactivated / Inactive NPI Male Practitioner

Michael Anderson

Peer Specialist • Xenia, 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, Michael Anderson has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date April 03, 2018
NPI Deactivation Date April 03, 2025
Total Practice Duration ~7 Years of Practice (2018 – 2025)

Professional Overview & Biography Verified Profile Summary

Michael Anderson was a registered Peer Specialist practicing in Xenia, OH. Throughout an active medical career spanning 7 years, Michael Anderson provided care at the practice location at 452 W MARKET ST until profile deactivation on 2025-04-03.

Practice Location & Contact Primary Location

Practice Address

452 W Market St

Xenia, OH 453852815

Telephone 9373768700
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Xenia, OH

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

Practicing in Xenia, 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
Joann Mace

Registered Nurse

NPI 1003083288
Nikita Trimble

Counselor - Addiction (Substance Use Disorder)

NPI 1003429317
Dylan Sander

Case Manager/Care Coordinator

NPI 1013527647
Dr. Carmel Flores , MD

Psychiatry & Neurology - Psychiatry

NPI 1013963776

Doctor of Medicine (M.D.)

Alan Jefferis , LPC

Counselor - Mental Health

NPI 1023108776

Licensed Professional Counselor

NPI 1023260437

Licensed Professional Counselor

Career & Practice History Timeline

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

14 Historical Events
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NPI Profile Deactivated April 03, 2025

Record deactivated on April 03, 2025

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Medical Taxonomy / Specialty Registered (Primary Specialty) February 16, 2025

Case Manager/Care Coordinator

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Updated Business Mailing Address March 22, 2019

Registered at 446 MORGAN ST, CINCINNATI, OH 452062348 (Tel: 5138347063)

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Provider Name / Credentials Updated March 22, 2019

Recorded as MICHAEL ANDERSON, CDCA

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Medical Taxonomy / Specialty Registered (Primary Specialty) March 22, 2019

Counselor (License #CDCA.169877 in OH)

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Updated Practice Location December 28, 2018

Registered at 8120 GARNET DR, DAYTON, OH 454582141 (Tel: 9373768700)

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Updated Business Mailing Address December 28, 2018

Registered at 8120 GARNET DR, DAYTON, OH 454582141 (Tel: 5138347063)

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 28, 2018

Case Manager/Care Coordinator

NPI Profile Active April 03, 2018

NPI status registered as active in NPPES database

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Updated Practice Location April 03, 2018

Registered at 452 W MARKET ST, XENIA, OH 453852815 (Tel: 9373768700)

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Updated Business Mailing Address April 03, 2018

Registered at 452 W MARKET ST, XENIA, OH 453852815

👤
Provider Name / Credentials Updated April 03, 2018

Recorded as MICHAEL ANDERSON

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2018

Peer Specialist

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Initial NPI Registration & Enumeration April 03, 2018

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: 1336645944
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 03, 2018
Last Update: April 03, 2018
Deactivation Date: April 03, 2025

Mailing Address

452 W Market St

Xenia, OH 453852815

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.