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MR. KENNETH MCCOY
NPI 1487262580
Peer Specialist in Detroit, MI

Active since July 15, 2020
1121 E MCNICHOLS RD, DETROIT, MI 48203(313) 365-3106 Get Directions Write a Review

NPPES record last updated: July 15, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kenneth Mccoy NPPES

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

MR. KENNETH MCCOY (NPI 1487262580) is an individual peer specialist in Detroit, Michigan and active in the NPI registry since July 2020.

NPPES Registry Identity

NPI1487262580
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameMR. KENNETH MCCOY
Location Address1121 E MCNICHOLS RDDetroit, MI 48203-2857
Mailing Address1121 E Mcnichols RdDetroit, MI 48203-2857 · (313) 365-3106
Phone(313) 365-3106
Sole ProprietorNo
Enumeration DateJuly 15, 2020
NPPES CertifiedJuly 15, 2020
✔ NPI 1487262580 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.
1121 E MCNICHOLS RD, Detroit, MI 48203
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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.

JEREMY ALAN WILMOT
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100
KIMBERLY JAN GLENN
Counselor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 324-8900
MS. JACQUELINE DENISE DOUGLAS
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (616) 365-3100
MR. JAY ANDRE YOUNG SR.
Case Manager/Care Coordinator
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100
MR. RODNEY ALLEN DUNCAN
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (616) 365-3100
JOHN LEWIS EBERHART CAC-I
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100
MRS. FELICIA D BEARD
Contractor
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (616) 365-3100
T'MANDO ALLEN DENSON-EL SR.
Peer Specialist
1121 E MCNICHOLS RD
DETROIT, MI 48203
Wayne County (313) 365-3100

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 Mccoy's NPI number?

The NPI number for Kenneth Mccoy is 1487262580. It was assigned to this individual provider in the NPPES registry on July 15, 2020.

Where is Kenneth Mccoy located?

Kenneth Mccoy practices at 1121 E Mcnichols Rd, Detroit, MI 48203. The listed phone number is (313) 365-3106.

What is Kenneth Mccoy'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 Mccoy was last updated on July 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.