Individual provider Active NPI

Zachery Kenney

  • Peer Specialist
  • Cincinnati, OH
National Provider Identifier
1689563710
Registry record updated Jul 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
License
APS.006421 Issued in OH
Practice address
801 Evans St Ste 104
Cincinnati, OH 45204-2075
Phone
(513) 790-3033
NPI assigned
Jul 2, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X APS.006421 OH Primary

Addresses

Primary practice location

801 Evans St Ste 104
Cincinnati, OH 45204-2075

Mailing address

801 Evans St Ste 104
Cincinnati, OH 45204-2075
Phone (513) 790-3033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
APS.006421OHMDPeer Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Heart Services LLC CurrentSince Jul 9, 2025 Accepting new patients
Sankofa Therapy Practice, LLC CurrentSince Jul 9, 2025 Accepting new patients

Locations

801 Evans St
Ste 104
Cincinnati, OH 45204
Phone (513) 222-5369

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1751414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751414400000",
    "number": "1689563710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 EVANS ST STE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452042075",
            "telephone_number": "513-790-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 EVANS ST STE 104",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452042075",
            "telephone_number": "513-790-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEY",
        "first_name": "ZACHERY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-02",
        "last_updated": "2025-07-02",
        "certification_date": "2025-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OH",
            "license": "APS.006421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.