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

Peter Michael Kenyon, CDCA

Individual provider Peer Specialist · NPI 1922691351

Peter Michael Kenyon, CDCA is a Peer Specialist in Mansfield, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

600 Russell Rd
Mansfield, OH 44903-1931
Phone: (419) 612-6372
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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.185626 (OH)
Peer Specialist Taxonomy 175T00000X

Record details

NPI number1922691351
Entity typeIndividual (Type 1)
GenderMale
Credentials CDCA
Sole proprietorYes
NPI enumeratedFebruary 17, 2021
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023
Mailing address445 Glessner Ave, Mansfield, OH 44903-2141

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