| Access Counseling Services Llc | |
|
4464 S Dixie Hwy Middletown OH 45005-5464 | |
| (513) 649-8008 | |
| (513) 649-8004 |
| Full Name | Access Counseling Services Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 4464 S Dixie Hwy, Middletown, Ohio |
| Authorized Official Name and Position | Deanna L Proctor (EXECUTIVE DIRECTOR/CEO) |
| Authorized Official Contact | 5136498008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Access Counseling Services Llc 4464 S Dixie Hwy Middletown OH 45005-5464 Ph: (513) 649-8008 | Access Counseling Services Llc 4464 S Dixie Hwy Middletown OH 45005-5464 Ph: (513) 649-8008 |
| NPI Number | 1073884524 |
|---|---|
| Provider Enumeration Date | 01/14/2012 |
| Last Update Date | 09/13/2018 |
| Medicare PECOS PAC ID | 4880844513 |
|---|---|
| Medicare Enrollment ID | O20121015000652 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073884524 | NPI | - | NPPES |
| 2062823 | Other | OH | STATE OF OHIO CERTIFICATE |
| 01-0693 | Other | OH | CARF RE-CERTIFICATION STATE |
| 0074946 | Other | OH | MEDICAID ODMH GROUP |
| Provider Name | Irfan Ahmed Dahar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336101542 PECOS PAC ID: 2668384868 Enrollment ID: I20031118000880 |
| Provider Name | Emad Alshami |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336168848 PECOS PAC ID: 0547230872 Enrollment ID: I20040727001591 |
| Provider Name | Alice A Onady |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518997741 PECOS PAC ID: 3779513494 Enrollment ID: I20050812000638 |
| Provider Name | Michael A Cerullo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649345026 PECOS PAC ID: 8123045648 Enrollment ID: I20051025000020 |
| Provider Name | Leslie H Brody |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700070844 PECOS PAC ID: 4587759394 Enrollment ID: I20071008000588 |
| Provider Name | Rokeya Tasnin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285820001 PECOS PAC ID: 6103086749 Enrollment ID: I20120320000133 |
| Provider Name | Marvin M Baula |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104156819 PECOS PAC ID: 1052557352 Enrollment ID: I20130410000640 |
| Provider Name | Marcia Adelman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720194723 PECOS PAC ID: 2860458775 Enrollment ID: I20160212002189 |
| Provider Name | Misty Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790834265 PECOS PAC ID: 4789960766 Enrollment ID: I20170405000707 |
| Provider Name | Kathryn L Streiff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689111528 PECOS PAC ID: 8527331594 Enrollment ID: I20170913003319 |
| Provider Name | Miranda P Martinez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982032587 PECOS PAC ID: 9335408111 Enrollment ID: I20180124002659 |
| Provider Name | Tiffany Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699203620 PECOS PAC ID: 3476813288 Enrollment ID: I20180215001464 |
| Provider Name | Tia M Hale |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114470242 PECOS PAC ID: 9234465550 Enrollment ID: I20190724003425 |
| Provider Name | Mariah F Fitzpatrick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831569482 PECOS PAC ID: 9436585577 Enrollment ID: I20200207001299 |
| Provider Name | Kellie Lanzillotta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346771466 PECOS PAC ID: 4082043641 Enrollment ID: I20200401003360 |
| Provider Name | Tim Varnum Klett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225089618 PECOS PAC ID: 9335305630 Enrollment ID: I20200908002589 |
| Provider Name | Lauren James |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528519303 PECOS PAC ID: 8426464082 Enrollment ID: I20210304002391 |
| Provider Name | Danielle K Ginter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073927695 PECOS PAC ID: 7113329905 Enrollment ID: I20210715004365 |
| Provider Name | Kaitlyn Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568909349 PECOS PAC ID: 9032598859 Enrollment ID: I20220623003193 |
| Provider Name | Leslie Ellen Hunt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578293981 PECOS PAC ID: 8527449172 Enrollment ID: I20220714000635 |
| Provider Name | Zachary Thomas Ballard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033643176 PECOS PAC ID: 8628442555 Enrollment ID: I20230316000816 |
| Provider Name | Elanna Hope Wilson-guzman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932403045 PECOS PAC ID: 8426413576 Enrollment ID: I20230425002493 |
| Provider Name | Lauren Anne Hunt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427529833 PECOS PAC ID: 8123485687 Enrollment ID: I20230530000265 |
| Provider Name | Chantelle M Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386240380 PECOS PAC ID: 8820455827 Enrollment ID: I20230607000573 |
| Provider Name | Kimberly J Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790990711 PECOS PAC ID: 0244682458 Enrollment ID: I20240123002790 |
| Provider Name | Christina L Kirkman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821325986 PECOS PAC ID: 0648622852 Enrollment ID: I20240123002984 |
| Provider Name | Mylinda K Lawson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578969846 PECOS PAC ID: 2466804612 Enrollment ID: I20240123004206 |
| Provider Name | Jeffrey Allen Schurgast |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639563844 PECOS PAC ID: 1052763208 Enrollment ID: I20240123004410 |
| Provider Name | John Widmer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942638408 PECOS PAC ID: 3173976388 Enrollment ID: I20240124001370 |
| Provider Name | Shelby Agee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730692203 PECOS PAC ID: 9335592500 Enrollment ID: I20240124003396 |
| Provider Name | Debra L. Cotter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083648562 PECOS PAC ID: 7214187947 Enrollment ID: I20240124004005 |
| Provider Name | Joann T Turner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023319068 PECOS PAC ID: 0547613606 Enrollment ID: I20240125001968 |
| Provider Name | Harry F Love |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205160942 PECOS PAC ID: 3678926458 Enrollment ID: I20240129001035 |
| Provider Name | Jessica Buschur |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598202723 PECOS PAC ID: 6406290147 Enrollment ID: I20240221001106 |
| Provider Name | Catherine Wendeln |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588197800 PECOS PAC ID: 9436594983 Enrollment ID: I20240223003860 |
| Provider Name | Tori Ferrell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225541766 PECOS PAC ID: 8022456862 Enrollment ID: I20240329001087 |
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Access Counseling Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4464 S Dixie Hwy, Middletown, OH 45005 Phone: 513-649-8008 Fax: 513-649-8004 | |
West Central Ohio Psychiatric Care, Inc. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1060 Summitt Dr, Suite B, Middletown, OH 45042 Phone: 513-423-4546 Fax: 513-423-4548 |