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MR. GERALD MICHAEL OTTENWALDER KCPM
NPI 1417449083
Peer Specialist in Burlington, KS

Active since May 30, 2018
420 KENNEDY ST, BURLINGTON, KS 66839(620) 364-2606 Get Directions Write a Review

NPPES record last updated: May 30, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Gerald Michael Ottenwalder Kcpm NPPES

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

MR. GERALD MICHAEL OTTENWALDER KCPM (NPI 1417449083) is an individual peer specialist in Burlington, Kansas and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1417449083
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. GERALD MICHAEL OTTENWALDERCredential: KCPM
Location Address420 KENNEDY STBurlington, KS 66839-1120
Mailing Address625 Sherman StEmporia, KS 66801-2401 · (620) 757-2661
Phone(620) 364-2606
Sole ProprietorNo
Enumeration DateMay 30, 2018
✔ NPI 1417449083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
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.

420 KENNEDY ST, Burlington, KS 66839
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Other Providers at the Same Location NPPES 10

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

TIMOTHY JAY DONAHUE BGS BSRCE CADC
Counselor (Addiction (Substance Use Disorder))
420 KENNEDY ST
BURLINGTON, KS 66839
Coffey County (620) 364-2606
LINDA KAY SNYDER BSRCE CADC
Counselor (Addiction (Substance Use Disorder))
420 KENNEDY ST
BURLINGTON, KS 66839
Coffey County (620) 364-2606
MRS. CHRISTINE D CURRIER MSED
Counselor
420 KENNEDY ST
BURLINGTON, KS 66839
Coffey County (620) 364-2551
BRADLEY KESSELL B.A.
Counselor
420 KENNEDY ST
BURLINGTON, KS 66839
Coffey County (620) 364-2606
KATHY ELIZABETH PETERSON BA
Counselor
420 KENNEDY ST
BURLINGTON, KS 66839
Coffey County (620) 364-2606
MS. DEBRA ANN REAVES L.A.C.
Counselor (Addiction (Substance Use Disorder))
420 KENNEDY ST
BURLINGTON, KS 66839
Coffey County (620) 364-2606
SANDRA J MARLATTE MA
Counselor
420 KENNEDY ST
BURLINGTON, KS 66839
Coffey County (620) 364-2606
CEARA SHAUGHNESSY
Counselor (Addiction (Substance Use Disorder))
420 KENNEDY ST
BURLINGTON, KS 66839
Coffey County (620) 364-2606

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 Gerald Ottenwalder's NPI number?

The NPI number for Gerald Ottenwalder is 1417449083. It was assigned to this individual provider in the NPPES registry on May 30, 2018.

Where is Gerald Ottenwalder located?

Gerald Ottenwalder practices at 420 Kennedy St, Burlington, KS 66839. The listed phone number is (620) 364-2606.

What is Gerald Ottenwalder'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 Gerald Ottenwalder was last updated on May 30, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.