Kiee Abraham
Individual provider Active NPI Peer Specialist · Willoughby, OH
NPI 1346942869 · NPPES record last updated Jun 20, 2025
Key facts
- NPI
- 1346942869
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 38882 Mentor Ave
Willoughby, OH 44094-7875 - Phone
- (440) 578-8200
- NPI assigned
- Mar 20, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
38882 Mentor Ave
Willoughby, OH 44094-7875
Mailing address
7232 Justin Way
Mentor, OH 44060-4881
Phone (440) 578-8200
Other providers in Willoughby, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 20, 2025. 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.