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MATTHEW KELLOUGH PRS
NPI 1265158273
Peer Specialist in Lancaster, OH

Active since October 12, 2022
551 E MAIN ST, LANCASTER, OH 43130(614) 404-6008 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Matthew Kellough Prs NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MATTHEW KELLOUGH PRS (NPI 1265158273) is an individual peer specialist in Lancaster, Ohio, licensed in Ohio (APS.003590) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1265158273
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMATTHEW KELLOUGHCredential: PRS
Location Address551 E MAIN STLancaster, OH 43130-3809
Mailing AddressPo Box 243Sugar Grove, OH 43155-0243 · (614) 404-6008
Phone(614) 404-6008
Sole ProprietorNo
Enumeration DateOctober 12, 2022
Last NPPES UpdateOctober 13, 2022
NPPES CertifiedOctober 13, 2022
✔ NPI 1265158273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · APS.003590
Definition
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
551 E MAIN ST, Lancaster, OH 43130
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREYA NICOLE WILLIAMS
Case Manager/Care Coordinator
551 E MAIN ST
LANCASTER, OH 43130
Fairfield County (740) 974-4881
MAKAYLA DAWN ROUSH
Case Manager/Care Coordinator
551 E MAIN ST
LANCASTER, OH 43130
Fairfield County (740) 863-7898
ALVA PUCKETT CPRS
Peer Specialist
551 E MAIN ST
LANCASTER, OH 43130
Fairfield County (614) 404-6008
THE CREED OF RECOVERY, LLC
Clinic/Center (Rehabilitation, Substance Use Disorder)
551 E MAIN ST
LANCASTER, OH 43130
Fairfield County (614) 404-6008
MR. RAYMOND E BAKER III
Counselor (Addiction (Substance Use Disorder))
551 E MAIN ST
LANCASTER, OH 43130
Fairfield County (740) 405-0085

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Matthew Kellough's NPI number?

The NPI number for Matthew Kellough is 1265158273. It was assigned to this individual provider in the NPPES registry on October 12, 2022.

Where is Matthew Kellough located?

Matthew Kellough practices at 551 E Main St, Lancaster, OH 43130. The listed phone number is (614) 404-6008.

What is Matthew Kellough's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Matthew Kellough was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.