KENNETH ROBERT LEWIS NYCPS-3799
NPI 1467064832
Peer Specialist in Rochester, NY
- Individual
- Male
- Peer Specialist
About KENNETH LEWIS
This page provides the complete NPI Profile along with additional information for Kenneth Lewis, a provider established in Rochester, New York with a medical specialization in Peer Specialist. The healthcare provider is registered in the NPI registry with number 1467064832 assigned on August 2020. The practitioner's primary taxonomy code is 175T00000X with license number NYCPS-P-3799 (NY). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1467064832 Verify this NPI
- Provider Name
- KENNETH ROBERT LEWIS NYCPS-3799
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 320 N GOODMAN ST STE 202320 ROCHESTER, NY 14607
- Location Phone
- (585) 325-3145
- Location Fax
- (585) 244-3999
- Mailing Address
- 320 N GOODMAN ST ROCHESTER, NY 14607
- Mailing Phone
- (585) 325-3145
- Mailing Fax
- (585) 244-3999
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-18-2020
- Last Update Date
- 08-18-2020
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Peer Specialist
- Taxonomy Code
- 175T00000X
- Type
- Other Service Providers
- License No.
- NYCPS-P-3799
- License State
- NY
- Taxonomy Description
- 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467064832, enumerated as an "individual" on August 18, 2020.
The provider is located at 320 N GOODMAN ST STE 202320 ROCHESTER, NY 14607 and the phone number is (585) 325-3145.
Peer Specialist with taxonomy code 175T00000X.
