Kenneth Perry Adkins
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Chesapeake, OH
NPI 1003521808 · NPPES record last updated Jan 17, 2023
Key facts
- NPI
- 1003521808
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- Practice address
- 11470 County Road 1
Chesapeake, OH 45619-7010 - Phone
- (740) 451-0074
- NPI assigned
- Jan 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Hope Recovery Center LLC | Addiction (Substance Use Disorder) | Current |
Accepting new patients |
| Southern Hope Recovery Center LLC | Past |
Accepting new patients |
Locations
11470 County Road 1
Chesapeake, OH 45619
Phone (740) 451-0074
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Yes |
Addresses
Primary practice location
11470 County Road 1
Chesapeake, OH 45619-7010
Mailing address
11470 County Road 1
Chesapeake, OH 45619-7010
Phone (740) 451-0074
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871150961 | Medicaid | OH |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Chesapeake | Direct |
Other providers in Chesapeake, OH
- Robin Jean Adair
- Kandy Adams
- Karen Marie Adams
- Joshua Scott Addis
- Amanda Adkins
- Mattilyn Gail Adkins
- Shawn Patrick Adkins
- Baffour Agyare
- Makala Alderman
- All Star Wellness and Recovery LLC
All providers in Chesapeake, OH · Addiction (Substance Use Disorder) Counselor in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.