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Active NPI 1588347652 Individual Practitioner Female Practitioner

Kodi Larae Kennedy , HS, PEER

Peer Specialist • Everett, WA

Professional Overview & Biography Verified Profile Summary

Kodi Kennedy, HS, PEER is a registered healthcare professional specializing in Peer Specialist in Everett, WA. Practice services are available at 4526 FEDERAL AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4526 Federal Ave

Everett, WA 982032132

Telephone 4253496200
Associated Practice Facility / Clinic
🏢 Compass Health Facility NPI 1730136201

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Everett, WA

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

Practicing in Everett, 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

CMS Verified: 2023-08-08
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License WA CG61471215

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 1003018227

MHT3, AACR

Raine Loyles

Counselor

NPI 1003435652
Jessica Tokarchuk , MA, AAC

Counselor - Mental Health

NPI 1003519984

Master of Arts, AAC

Shannon Sweet

Behavior Technician

NPI 1003524497
Lasaundra Mccurty

Social Worker - Clinical

NPI 1003540717
Jessica Ramsey

Behavior Technician

NPI 1003544313

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active August 08, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location August 08, 2023

Registered at 4526 FEDERAL AVE, EVERETT, WA 982032132 (Tel: 4253496200)

📍
Updated Business Mailing Address August 08, 2023

Registered at 4526 FEDERAL AVE, EVERETT, WA 982032132 (Tel: 4253496200)

👤
Provider Name / Credentials Updated August 08, 2023

Recorded as KODI KENNEDY, HS, PEER

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 08, 2023

Peer Specialist (License #CG61471215 in WA)

🟢
Initial NPI Registration & Enumeration August 07, 2023

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: 1588347652
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 07, 2023
Last Update: August 08, 2023
Sole Proprietor: No

Mailing Address

4526 Federal Ave

Everett, WA 982032132

Phone: 4253496200

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.