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BENJAMIN KELLY PRS
NPI 1356191035
Peer Specialist in Mc Dermott, OH

Active since March 25, 2024
9620 CAREYS RUN POND CREEK RD, MC DERMOTT, OH 45652(740) 858-6683 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Benjamin Kelly Prs NPPES

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

BENJAMIN KELLY PRS (NPI 1356191035) is an individual peer specialist in Mc Dermott, Ohio, licensed in Ohio (APS.004918) and active in the NPI registry since March 2024. He maintains a secondary practice location in Mc Dermott.

NPPES Registry Identity

NPI1356191035
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameBENJAMIN KELLYCredential: PRS
Location Address9620 CAREYS RUN POND CREEK RDMc Dermott, OH 45652-3902
Mailing Address546 2nd St Apt 11Portsmouth, OH 45662-3886
Phone(740) 858-6683
Sole ProprietorYes
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1356191035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · APS.004918
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.
9620 CAREYS RUN POND CREEK RD, Mc Dermott, OH 45652
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Secondary Practice Location 1

Location 17175 State Route 104Mc Dermott, OH 45652-8899 · Phone (740) 858-6683

Other Providers at the Same Location NPPES 20

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

BRYAN VEST CMS, QMHS
Case Manager/Care Coordinator
9620 CAREYS RUN POND CREEK RD
MC DERMOTT, OH 45652
Scioto County (740) 858-6683
ANDREW THOMAS SHARKEY CDCA PRS CMS
Case Manager/Care Coordinator
9620 CAREYS RUN POND CREEK RD
MC DERMOTT, OH 45652
Scioto County (740) 858-6683
TIMOTHY MCCREARY
Counselor (Addiction (Substance Use Disorder))
9620 CAREYS RUN POND CREEK RD
MC DERMOTT, OH 45652
Scioto County (740) 858-6683
KYAM MATTHEWS
Case Manager/Care Coordinator
9620 CAREYS RUN POND CREEK RD
MC DERMOTT, OH 45652
Scioto County (740) 858-6683
DEVON DIXON CMS, QMHS
Case Manager/Care Coordinator
9620 CAREYS RUN POND CREEK RD
MC DERMOTT, OH 45652
Scioto County (740) 858-6683
TIMOTHY SLONE
Case Manager/Care Coordinator
9620 CAREYS RUN POND CREEK RD
MC DERMOTT, OH 45652
Scioto County (740) 858-6683
KEITH ALLEN HAMILTON
Case Manager/Care Coordinator
9620 CAREYS RUN POND CREEK RD
MC DERMOTT, OH 45652
Scioto County (740) 858-6683
TYLER BENNETT CMS, QMHS, CDCA
Case Manager/Care Coordinator
9620 CAREYS RUN POND CREEK RD
MC DERMOTT, OH 45652
Scioto County (740) 858-6683

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 Benjamin Kelly's NPI number?

The NPI number for Benjamin Kelly is 1356191035. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Benjamin Kelly located?

Benjamin Kelly practices at 9620 Careys Run Pond Creek Rd, Mc Dermott, OH 45652. The listed phone number is (740) 858-6683.

What is Benjamin Kelly'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 Benjamin Kelly was last updated on March 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.