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KENYATTA STATEN CDCA
NPI 1689395055
Counselor - Addiction (Substance Use Disorder) in Athens, OH

Active since September 06, 2022
400 E STATE ST STE D, ATHENS, OH 45701(740) 326-6110 Get Directions Write a Review

NPPES record last updated: February 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 24, 2025, Nov 10, 2023, Sep 6, 2022 (3 updates tracked since 2022).

About Kenyatta Staten Cdca NPPES

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

KENYATTA STATEN CDCA (NPI 1689395055) is an individual addiction (substance use disorder) provider in Athens, Ohio, licensed in Ohio (CDCA185754) and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1689395055
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameKENYATTA STATENCredential: CDCA
Location Address400 E STATE ST STE DAthens, OH 45701-1870
Mailing Address2110 S Smithville RdKettering, OH 45420-1437 · (937) 266-6141
Phone(740) 326-6110
Sole ProprietorYes
Enumeration DateSeptember 6, 2022
Last NPPES UpdateFebruary 24, 20253 updates tracked since enumeration
NPPES CertifiedFebruary 24, 2025
✔ NPI 1689395055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OH · CDCA185754
400 E STATE ST STE D, Athens, OH 45701
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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.

MS. ANGELICA MARIE ALBEK BSN-RN
Registered Nurse (Psychiatric/Mental Health)
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (740) 212-1391
MS. DANETTE PETTIGREW R.N.
Registered Nurse
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (740) 249-4514
DEMAR GARY
Case Manager/Care Coordinator
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (740) 326-6110
LYDIA FIONA PRINDLE
Case Manager/Care Coordinator
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (740) 294-4514
SHAYLA JANEE THOMAS RN
Registered Nurse
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (740) 326-6110
EARNEST MOORE
Case Manager/Care Coordinator
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (740) 326-6110
MARY KATHERINE TOCKNELL LSW
Social Worker
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (740) 249-4514
ANEW BEHAVIORAL HEALTH OF ILLINOIS LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
400 E STATE ST STE D
ATHENS, OH 45701
Athens County (866) 534-2639

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 Kenyatta Staten's NPI number?

The NPI number for Kenyatta Staten is 1689395055. It was assigned to this individual provider in the NPPES registry on September 6, 2022.

Where is Kenyatta Staten located?

Kenyatta Staten practices at 400 E State St Ste D, Athens, OH 45701. The listed phone number is (740) 326-6110.

What is Kenyatta Staten's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kenyatta Staten was last updated on February 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.