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Deactivated NPI 1386240182 Deactivated / Inactive NPI Male Practitioner

Kevin Reetz

Peer Specialist • Centralia, WA

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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, Kevin Reetz has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 07, 2020
NPI Deactivation Date June 07, 2022
Total Practice Duration ~2 Years of Practice (2020 – 2022)

Professional Overview & Biography Verified Profile Summary

Kevin Reetz was a registered Peer Specialist practicing in Centralia, WA. Throughout an active medical career spanning 2 years, Kevin Reetz provided care at the practice location at 2428 W REYNOLDS AVE until profile deactivation on 2022-06-07.

Practice Location & Contact Primary Location

Practice Address

2428 W Reynolds Ave

Centralia, WA 985314554

Telephone 3603309044
Associated Practice Facility / Clinic
🏢 Cascade Community Healthcare Facility NPI 1619068624

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Centralia, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
65 Specialists

Practicing in Centralia, WA (2660 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
NPI 1003272527
Naomi Hamilton

Counselor - Mental Health

NPI 1003434903
Jamie Thurman

Counselor

NPI 1003532326
Andrea Sehmel , RN

Registered Nurse

NPI 1003683079

Registered Nurse

Kari Tjersland , LMHC

Counselor - Mental Health

NPI 1013113174

Licensed Mental Health Counselor

Kristopher Head , LPN

Licensed Practical Nurse

NPI 1013690023

Licensed Practical Nurse

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 June 07, 2022

Record deactivated on June 07, 2022

NPI Profile Active December 07, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location December 07, 2020

Registered at 2428 W REYNOLDS AVE, CENTRALIA, WA 985314554 (Tel: 3603309044)

📍
Updated Business Mailing Address December 07, 2020

Registered at 2428 W REYNOLDS AVE, CENTRALIA, WA 985314554 (Tel: 3603309044)

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Provider Name / Credentials Updated December 07, 2020

Recorded as KEVIN REETZ

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2020

Peer Specialist

🟢
Initial NPI Registration & Enumeration December 07, 2020

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: 1386240182
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 07, 2020
Last Update: December 07, 2020
Deactivation Date: June 07, 2022

Mailing Address

2428 W Reynolds Ave

Centralia, WA 985314554

Phone: 3603309044

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.