Kristen Jill Gannon, PEER RECOVERY COACH
NPI 1518854470ActiveIndividual· Counselor, Addiction (Substance Use Disorder)· Traverse City, MI
Counselor, Addiction (Substance Use Disorder) (PEER RECOVERY COACH) in Traverse City, Michigan, with an NPI issued in June 2025.
Overview
| NPI | 1518854470 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PEER RECOVERY COACH |
| Sole proprietor | Yes |
| NPI issued | Jun 23, 2025 |
| Last updated in NPPES | Jun 23, 2025 |
| Certified by provider | Jun 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Addiction (Substance Use Disorder) Primary | 101YA0400X | — | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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