KELLY JOHN MCGUIRE PSC
NPI 1144798034
Peer Specialist in Spokane, WA
- Individual
- Male
- Peer Specialist
About KELLY MCGUIRE
This page provides the complete NPI Profile along with additional information for Kelly Mcguire, a provider established in Spokane, Washington with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1144798034 assigned on November 2018. The practitioner's primary taxonomy code is 175T00000X. The provider is registered as an individual and his NPI record was last updated 2 years ago.
- NPI
- 1144798034 Verify this NPI
- Provider Name
- KELLY JOHN MCGUIRE PSC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 107 SOUTH DIVISION SPOKANE SPOKANE, WA 99202
- Location Phone
- (509) 838-4651
- Mailing Address
- 107 S DIVISION ST SPOKANE, WA 99202
- Mailing Phone
- (509) 838-4651
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-08-2018
- Last Update Date
- 12-10-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- Taxonomy Description
- 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.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | PEER (WA) |
| 2 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | (WA) |
| 3 | 101Y00000X | Behavioral Health & Social Service Providers | Counselor | CG60416561 (WA) |
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1144798034, enumerated as an "individual" on November 08, 2018.
The provider is located at 107 SOUTH DIVISION SPOKANE SPOKANE, WA 99202 and the phone number is (509) 838-4651.
Peer Specialist with taxonomy code 175T00000X.
