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JACOB H KINNEY PEER SUPPORT
NPI 1417747767
Peer Specialist in Ogdensburg, NY

Active since May 09, 2025
1003 PARK ST, OGDENSBURG, NY 13669(315) 713-9090(315) 713-9330 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jacob H Kinney Peer Support NPPES

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

JACOB H KINNEY PEER SUPPORT (NPI 1417747767) is an individual peer specialist in Ogdensburg, New York and active in the NPI registry since May 2025.

NPPES Registry Identity

NPI1417747767
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameJACOB H KINNEYCredential: PEER SUPPORT
Location Address1003 PARK STOgdensburg, NY 13669-3911
Mailing Address324 County Route 51 Bldg 1Malone, NY 12953-4502 · (518) 483-1251
Phone(315) 713-9090
Fax(315) 713-9330
Sole ProprietorNo
Enumeration DateMay 9, 2025
NPPES CertifiedMay 9, 2025
✔ NPI 1417747767 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.
1003 PARK ST, Ogdensburg, NY 13669
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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.

MARIBETH EVANS RN, NP
Nurse Practitioner (Psychiatric/Mental Health)
1003 PARK ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9090
TERRY HANNA
Case Manager/Care Coordinator
1003 PARK ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9090
CARRIE R RECORE
Registered Nurse
1003 PARK ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9090
COURTNEY CHUDZINSKI
Licensed Practical Nurse
1003 PARK ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9090
TIMMY JOE CURRIER PEER RECOVERY
Peer Specialist
1003 PARK ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9090
KIMBERLEY ANN WILSON
Case Manager/Care Coordinator
1003 PARK ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9090
EMILY BURGESS
Registered Nurse
1003 PARK ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9090
STEPHANIE SARAH ZEHR LCSW
Social Worker (Clinical)
1003 PARK ST
OGDENSBURG, NY 13669
St. Lawrence County (315) 713-9090

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 Jacob Kinney's NPI number?

The NPI number for Jacob Kinney is 1417747767. It was assigned to this individual provider in the NPPES registry on May 9, 2025.

Where is Jacob Kinney located?

Jacob Kinney practices at 1003 Park St, Ogdensburg, NY 13669. The listed phone number is (315) 713-9090.

What is Jacob Kinney'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 Jacob Kinney was last updated on May 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.