Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bradley Keck, CDCA, CPRS

Individual provider Peer Specialist · NPI 1215401302

Bradley Keck, CDCA, CPRS is a Peer Specialist in Dayton, Ohio. Licensed in Ohio. Registered with an NPI since 2019.

Licensed in
OH
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

100 Elmwood Park Dr
Dayton, OH 45449-5402
Phone: (937) 384-0580
Fax: (937) 384-0581
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CDCA.188574 (OH)
Peer Specialist Taxonomy 175T00000X (OH)

Record details

NPI number1215401302
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA , CPRS
Sole proprietorNo
NPI enumeratedJanuary 11, 2019
Last updated in NPPESAugust 27, 2024
Certification dateAugust 27, 2024
Mailing address100 Elmwood Park Dr, Dayton, OH 45449-5402

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