Individual provider Active NPI

Kenneth Earl Searcy

  • Peer Specialist
  • Pontiac, MI
National Provider Identifier
1770459232
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
1685 Baldwin Ave Ste 100
Pontiac, MI 48340-1242
Phone
(248) 706-3450
Fax
(248) 706-3455
NPI assigned
Oct 13, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 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 Primary

Addresses

Primary practice location

1685 Baldwin Ave Ste 100
Pontiac, MI 48340-1242

Mailing address

1685 Baldwin Ave Ste 100
Pontiac, MI 48340-1242
Phone (248) 706-3450

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

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760313600000",
    "number": "1770459232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1685 BALDWIN AVE STE 100",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483401242",
            "telephone_number": "248-706-3450",
            "fax_number": "248-706-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1685 BALDWIN AVE STE 100",
            "city": "PONTIAC",
            "state": "MI",
            "postal_code": "483401242",
            "telephone_number": "248-706-3450",
            "fax_number": "248-706-3455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEARCY",
        "first_name": "KENNETH",
        "middle_name": "EARL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pontiac, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.