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KENNETH PAUL BODINE JR.
NPI 1417682790
Peer Specialist in Ashtabula, OH

Active since July 20, 2022
2801 C CT, ASHTABULA, OH 44004(440) 998-0722 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Kenneth Paul Bodine Jr. NPPES

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

KENNETH PAUL BODINE JR. (NPI 1417682790) is an individual peer specialist in Ashtabula, Ohio and active in the NPI registry since July 2022.

NPPES Registry Identity

NPI1417682790
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKENNETH PAUL BODINE JR.
Location Address2801 C CTAshtabula, OH 44004-4577
Mailing Address2801 C CtAshtabula, OH 44004-4577 · (440) 998-0722
Phone(440) 998-0722
Sole ProprietorNo
Enumeration DateJuly 20, 2022
NPPES CertifiedJuly 20, 2022
✔ NPI 1417682790 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.
2801 C CT, Ashtabula, OH 44004
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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.

KAREN FRONCZAK
Counselor (Professional)
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-4210
KAYLA FRYE
Counselor (Addiction (Substance Use Disorder))
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-0722
HAYLEE MCMAHON CDCA
Counselor (Addiction (Substance Use Disorder))
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-4210
CALI FAYE MARIE RICHARDSON
Counselor
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-4210
AMANDA M BAKER
Peer Specialist
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-0722
BREANNA COLE
Community/Behavioral Health
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-4210
STEFANIE MARIE WILLIAMS
Case Manager/Care Coordinator
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-0722
MISS EVA ANGEL PETTIT
Case Management
2801 C CT
ASHTABULA, OH 44004
Ashtabula County (440) 998-4210

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 Kenneth Bodine's NPI number?

The NPI number for Kenneth Bodine is 1417682790. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Kenneth Bodine located?

Kenneth Bodine practices at 2801 C Ct, Ashtabula, OH 44004. The listed phone number is (440) 998-0722.

What is Kenneth Bodine'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 Kenneth Bodine was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.