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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

PHILIP RYAN DAETWYLER PSS
NPI 1669307468
Peer Specialist in Louisa, KY

Active since June 15, 2026
125 S MAIN CROSS ST, LOUISA, KY 41230(606) 638-0938(859) 813-5394 Get Directions Write a Review

NPPES record added: June 15, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Philip Ryan Daetwyler Pss NPPES

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

PHILIP RYAN DAETWYLER PSS (NPI 1669307468) is an individual peer specialist in Louisa, Kentucky and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1669307468
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NamePHILIP RYAN DAETWYLERCredential: PSS
Location Address125 S MAIN CROSS STLouisa, KY 41230-1330
Mailing AddressPo Box 726Louisa, KY 41230-0726 · (606) 638-0938 · Fax (859) 813-5394
Phone(606) 638-0938
Fax(859) 813-5394
Sole ProprietorNo
Enumeration DateJune 15, 2026
NPPES CertifiedJune 15, 2026
✔ NPI 1669307468 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.
125 S MAIN CROSS ST, Louisa, KY 41230
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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.

LOIS MICHELLE HUBBARD
Case Manager/Care Coordinator
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
CHARLOTTE WILLIAMSON LPCA
Counselor (Professional)
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
JOHN W. RILEY CADC
Counselor (Addiction (Substance Use Disorder))
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
RICHARD SKEENS
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
SHERRY DIANNE BIBBS JOHNSON RN
Registered Nurse (Addiction (Substance Use Disorder))
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 639-0938
KEITH JONES
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
BOBBY LEE HILL PSS
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
MELISSA MAYNARD
Case Manager/Care Coordinator
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938

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 Philip Daetwyler's NPI number?

The NPI number for Philip Daetwyler is 1669307468. It was assigned to this individual provider in the NPPES registry on June 15, 2026.

Where is Philip Daetwyler located?

Philip Daetwyler practices at 125 S Main Cross St, Louisa, KY 41230. The listed phone number is (606) 638-0938.

What is Philip Daetwyler'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 Philip Daetwyler was last updated on June 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.