KENNETH RAY HERRING JR. (NPI# 1568012466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568012466 |
| Entity Type | Individual |
| Full Name | KENNETH RAY HERRING JR. |
| Practice Address |
601 Cleveland Ave Nw Canton OH 44702-1836 |
| Mailing Address |
625 Cleveland Ave Nw Canton OH 44702-1805 |
| Practice Telephone | 3304550374 |
| Practice Fax Number | 3304536716 |
| Mailing Telephone | 3304550374 |
| Mailing Fax Number | 3304536716 |
| Enumeration Date | 2019-09-13 |
| Last Update Date | 2019-09-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | OH | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679005003 | Kenneth Herring | Student in an Organized Health Care Education/Training Program | 13001 E 17th Pl, Aurora, CO 80045-2570 | 2017-04-03 |
| 1568402923 | Kenneth Herring | Social Worker | 6051 Frankfort Hwy, Suite 200, Benzonia, MI 49616-9558 | 2006-06-07 |
| Street Address |
601 CLEVELAND AVE NW |
| City | CANTON |
| State | OH |
| Zip Code | 44702-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356365720 | Mark W Boyce | Counselor | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2006-07-27 |
| 1124629746 | Gabrielle Miller | Community Health Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-11-02 |
| 1326654302 | Amanda Lint | Case Manager/Care Coordinator | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-09-16 |
| 1619581444 | Dakota Myers | Counselor | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-08-31 |
| 1700498185 | Lee A Schindler | Social Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-08-18 |
| 1174135784 | Robert L Hurless | Case Manager/Care Coordinator | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-08-17 |
| 1366078461 | Rhonda Lynn Barrow | Community Health Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-03-20 |
| 1336775899 | Joelyn H Cervantez | Community Health Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-03-17 |
| 1518591957 | Brianna Burger | Community Health Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-02-25 |
| 1205469731 | Tracie Jane Clendenin | Community Health Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
| 1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
| 1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
| 1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| 1407359656 | Reginald A Corner | Case Manager/Care Coordinator | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-03-14 |
| 1609378322 | Nicole Osborne | Peer Specialist | 624 Market Ave N, Canton, OH 44702 | 2018-03-08 |
| Find all providers in zip 44702 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093350068 | Marc A Walker | Peer Specialist | 3311 12th St Nw, Canton, OH 44708-3909 | 2019-11-13 |
| 1114569506 | Nicole Herndon | Peer Specialist | 1114 Gonder Ave Se, Canton, OH 44707-3300 | 2019-10-17 |
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1851864144 | Jennifer Kathleen Shannon | Peer Specialist | 2945 Willowrow Ave Ne, Canton, OH 44705-3612 | 2019-01-09 |
| 1861962599 | Darnella L Jenkins | Peer Specialist | 2306 Crown Pl Nw, Canton, OH 44708-4420 | 2018-11-26 |
| 1396229027 | Michelle Lois Stackhouse | Peer Specialist | 5736 East Blvd Nw, Canton, OH 44718-1655 | 2018-09-19 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| 1427656354 | Aaron Schreffler | Peer Specialist | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2020-10-13 |
| 1659985158 | Tracy Hart | Peer Specialist | 80 State Highway 310 Ste 1, Canton, NY 13617-1493 | 2020-09-02 |
| 1790309581 | Jamaine Thomas Atkins Sr. | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2020-06-08 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.