KEVIN DREW WOODSON PRS
NPI 1679290886
Peer Specialist in Canton, OH

Active since October 27, 2022
625 CLEVELAND AVE NW, CANTON, OH 44702(330) 455-0374(330) 455-2101 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kevin Drew Woodson Prs NPPES

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

KEVIN DREW WOODSON PRS (NPI 1679290886) is an individual peer specialist in Canton, Ohio, licensed in Ohio (APS.003652) and active in the NPI registry since October 2022. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1679290886
Entity TypeIndividualMale
Primary Taxonomy175T00000X
Provider Legal NameKEVIN DREW WOODSONCredential: PRS
Location Address625 CLEVELAND AVE NWCanton, OH 44702-1805
Mailing Address625 Cleveland Ave NwCanton, OH 44702-1805 · (330) 455-0374 · Fax (330) 453-6716
Fax(330) 455-2101
Sole ProprietorNo
Enumeration DateOctober 27, 2022
NPPES CertifiedOctober 27, 2022
NPI 1679290886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
License Licensed in OH · APS.003652
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.
625 CLEVELAND AVE NW, Canton, OH 44702

Secondary Practice Locations 2

Location 11207 W State St Ste MAlliance, OH 44601-4686 · Phone (330) 821-8407 · Fax (330) 821-8506
Location 21341 Market Ave NCanton, OH 44714-2605 · Phone (330) 453-8252 · Fax (330) 452-4655

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.

Nurse Practitioner (Psychiatric/Mental Health)
625 CLEVELAND AVE NW
CANTON, OH 44702
Counselor (Professional)
625 CLEVELAND AVE NW
CANTON, OH 44702
Counselor (Professional)
625 CLEVELAND AVE NW
CANTON, OH 44702
Counselor (Addiction (Substance Use Disorder))
625 CLEVELAND AVE NW
CANTON, OH 44702
Marriage & Family Therapist
625 CLEVELAND AVE NW
CANTON, OH 44702
Social Worker
625 CLEVELAND AVE NW
CANTON, OH 44702
Counselor (Professional)
625 CLEVELAND AVE NW
CANTON, OH 44702
Counselor
625 CLEVELAND AVE NW
CANTON, OH 44702

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 Kevin Woodson's NPI number?

The NPI number for Kevin Woodson is 1679290886. It was assigned to this individual provider in the NPPES registry on October 27, 2022.

Where is Kevin Woodson located?

Kevin Woodson practices at 625 Cleveland Ave NW, Canton, OH 44702. The listed phone number is (330) 455-0374.

What is Kevin Woodson'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 Kevin Woodson was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.