MR. JOHN ROBERT KANGAS PR NPI 1609518232

NPI Information

  • NPI: 1609518232
  • Provider Name: MR. JOHN ROBERT KANGAS, PR
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 1 WASHINGTON AVE
    LOGAN, WV
    ZIP 25601
  • Phone: (304) 792-9473

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NPI Details

MR. John Robert Kangas, PR is a peer specialist in Logan, WV. The provider is 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. MR. John Robert Kangas, PR NPI is 1609518232. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1 WASHINGTON AVE
LOGAN, WV
ZIP 25601-965
Phone: (304) 792-9473

The enumeration date for this NPI number is 4/13/2022 and was last updated on 4/13/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer Specialist19.918WEST VIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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