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GRANT CHARLES KIRKWOOD CDCA
NPI 1639610595
Peer Specialist in Andover, OH

Active since March 13, 2017
158 W MAIN ST, ANDOVER, OH 44003(216) 353-4723 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 5, 2024, Mar 13, 2017 (2 updates tracked since 2017).

About Grant Charles Kirkwood Cdca NPPES

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

GRANT CHARLES KIRKWOOD CDCA (NPI 1639610595) is an individual peer specialist in Andover, Ohio, licensed in Ohio (000120) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1639610595
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameGRANT CHARLES KIRKWOODCredential: CDCA
Location Address158 W MAIN STAndover, OH 44003-9318
Mailing Address158 W Main StAndover, OH 44003-9318
Phone(216) 353-4723
Sole ProprietorYes
Enumeration DateMarch 13, 2017
Last NPPES UpdateDecember 5, 20242 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1639610595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License✔ Licensed in OH · 000120
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License 165555 (OH)
Also ListedBehavior TechnicianTaxonomy 106S00000X
158 W MAIN ST, Andover, OH 44003
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 11

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

ARIANA GONZALEZ
Peer Specialist
158 W MAIN ST
ANDOVER, OH 44003
Ashtabula County (440) 563-6524
SARAH MARTIN
Case Manager/Care Coordinator
158 W MAIN ST
ANDOVER, OH 44003
Ashtabula County (440) 563-6524
IMPACT RECOVERY SERVICES
Substance Abuse Rehabilitation Facility
158 W MAIN ST
ANDOVER, OH 44003
Ashtabula County (440) 895-7356
JOSEPH JACKSON LCDC II
Counselor
158 W MAIN ST
ANDOVER, OH 44003
Ashtabula County (216) 800-8700
KEITH WARD
Case Manager/Care Coordinator
158 W MAIN ST
ANDOVER, OH 44003
Ashtabula County (216) 800-8700
CAITLIN JONES
Counselor (Addiction (Substance Use Disorder))
158 W MAIN ST
ANDOVER, OH 44003
Ashtabula County (216) 800-8700
STEPHANIE PROFERA
Social Worker
158 W MAIN ST
ANDOVER, OH 44003
Ashtabula County (440) 563-6524
ERIC MONTGOMERY
Counselor (Addiction (Substance Use Disorder))
158 W MAIN ST
ANDOVER, OH 44003
Ashtabula County (216) 800-8700

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 Grant Kirkwood's NPI number?

The NPI number for Grant Kirkwood is 1639610595. It was assigned to this individual provider in the NPPES registry on March 13, 2017.

Where is Grant Kirkwood located?

Grant Kirkwood practices at 158 W Main St, Andover, OH 44003. The listed phone number is (216) 353-4723.

What is Grant Kirkwood'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 Grant Kirkwood was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.