| 360team Counseling Llc | |
|
740 Commerce Dr Ste A Perrysburg OH 43551-5276 | |
| (502) 244-2420 | |
| (502) 996-8282 |
| Full Name | 360team Counseling Llc |
|---|---|
| Speciality | Psychologist |
| Location | 740 Commerce Dr Ste A, Perrysburg, Ohio |
| Authorized Official Name and Position | Joe Vap (GENERAL MANAGER) |
| Authorized Official Contact | 5022442420 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 360team Counseling Llc 12910 Shelbyville Rd Ste 300 Louisville KY 40243-2404 Ph: (502) 244-2420 | 360team Counseling Llc 740 Commerce Dr Ste A Perrysburg OH 43551-5276 Ph: (502) 244-2420 |
| NPI Number | 1881277242 |
|---|---|
| Provider Enumeration Date | 05/04/2021 |
| Last Update Date | 05/04/2021 |
| Certification Date | 05/04/2021 |
| Medicare PECOS PAC ID | 5991109662 |
|---|---|
| Medicare Enrollment ID | O20210803003751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881277242 | NPI | - | NPPES |
| Provider Name | Kathryn M Pitchford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982750857 PECOS PAC ID: 2365356284 Enrollment ID: I20031114000672 |
| Provider Name | James M Daum |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1023043627 PECOS PAC ID: 7012910656 Enrollment ID: I20060821000236 |
| Provider Name | Belinda D Niswonger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609219880 PECOS PAC ID: 8426273830 Enrollment ID: I20140626002578 |
| Provider Name | Kristin Michelle Hilfer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1497145445 PECOS PAC ID: 5698092138 Enrollment ID: I20150323001013 |
| Provider Name | Timothy Schuerr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689972788 PECOS PAC ID: 9638468101 Enrollment ID: I20160523002367 |
| Provider Name | Nicole Marie Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396108478 PECOS PAC ID: 6608161732 Enrollment ID: I20160829000273 |
| Provider Name | Andrienne Turner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154871481 PECOS PAC ID: 4183904501 Enrollment ID: I20161130002594 |
| Provider Name | Krystal Lynne Drake |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1588918536 PECOS PAC ID: 4789821034 Enrollment ID: I20170323001378 |
| Provider Name | Jill A Lipcsik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053543918 PECOS PAC ID: 4688947153 Enrollment ID: I20170905001672 |
| Provider Name | Jennifer Mullins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174063234 PECOS PAC ID: 1355627134 Enrollment ID: I20171011002211 |
| Provider Name | Carolyn Cole Arnold |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1245446012 PECOS PAC ID: 6800155581 Enrollment ID: I20180126000534 |
| Provider Name | Kimberly Haubner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265946263 PECOS PAC ID: 3971867243 Enrollment ID: I20180514002885 |
| Provider Name | Corey Rea |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295229490 PECOS PAC ID: 5395092506 Enrollment ID: I20180719000495 |
| Provider Name | Brian Michael Mckibben |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053826982 PECOS PAC ID: 6709139041 Enrollment ID: I20181102000738 |
| Provider Name | Kaitlyn Marie Mccarthy |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043555329 PECOS PAC ID: 3779837794 Enrollment ID: I20181109002853 |
| Provider Name | Andrea Rowland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427522176 PECOS PAC ID: 0042552994 Enrollment ID: I20190425001540 |
| Provider Name | Stephanie Benson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891352977 PECOS PAC ID: 3274866884 Enrollment ID: I20190613003278 |
| Provider Name | Erin Thornton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255402202 PECOS PAC ID: 5395072268 Enrollment ID: I20190815000498 |
| Provider Name | Carey Gargano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639726136 PECOS PAC ID: 4385973908 Enrollment ID: I20190906003114 |
| Provider Name | Steven Phillip Beyer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1043717853 PECOS PAC ID: 3072842160 Enrollment ID: I20190916002171 |
| Provider Name | Jessica Ann Parker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114577970 PECOS PAC ID: 8022349257 Enrollment ID: I20191018001844 |
| Provider Name | Natalie Adele Mckinney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649816224 PECOS PAC ID: 0446684427 Enrollment ID: I20191227001871 |
| Provider Name | Roseann D'agati |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124324397 PECOS PAC ID: 5496180226 Enrollment ID: I20200123003224 |
| Provider Name | Lindsay Anne Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407385214 PECOS PAC ID: 7911316104 Enrollment ID: I20210428002804 |
| Provider Name | Emily Day Chervenak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346734274 PECOS PAC ID: 8325447444 Enrollment ID: I20210521002369 |
| Provider Name | Sarah Luzik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821510967 PECOS PAC ID: 8820493562 Enrollment ID: I20210818004146 |
| Provider Name | Candice Wood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952073066 PECOS PAC ID: 5193113660 Enrollment ID: I20211102003310 |
| Provider Name | Yonna Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578026068 PECOS PAC ID: 5597098384 Enrollment ID: I20211112000981 |
| Provider Name | Judea Castillo-winter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083378152 PECOS PAC ID: 5991196974 Enrollment ID: I20211230000442 |
| Provider Name | Felecia M Arthur |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871822569 PECOS PAC ID: 1254726102 Enrollment ID: I20220311001994 |
| Provider Name | Kami Imes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376299412 PECOS PAC ID: 8527453091 Enrollment ID: I20220318001974 |
| Provider Name | William V Silverstone |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861035354 PECOS PAC ID: 2961889969 Enrollment ID: I20220512002045 |
| Provider Name | Gregory Scott Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1992413009 PECOS PAC ID: 8022486885 Enrollment ID: I20221129000664 |
| Provider Name | Kira Sue Rodriguez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689276263 PECOS PAC ID: 4880051820 Enrollment ID: I20230606001954 |
| Provider Name | Megan Neal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275082208 PECOS PAC ID: 0547680225 Enrollment ID: I20230804000539 |
| Provider Name | Stephanie B Taddeo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659149680 PECOS PAC ID: 6709239940 Enrollment ID: I20240124002606 |
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