| Aspire Mental Health Llc | |
|
16761 Saint Clair Ave Ste 2 East Liverpool OH 43920-9400 | |
| (330) 932-1823 | |
| (330) 932-1832 |
| Full Name | Aspire Mental Health Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 16761 Saint Clair Ave Ste 2, East Liverpool, Ohio |
| Authorized Official Name and Position | Jennifer Marie Joseph (OWNER/OPERATOR) |
| Authorized Official Contact | 3309321823 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Mental Health Llc 16761 Saint Clair Ave Ste 2 East Liverpool OH 43920-9400 Ph: (330) 932-1823 | Aspire Mental Health Llc 16761 Saint Clair Ave Ste 2 East Liverpool OH 43920-9400 Ph: (330) 932-1823 |
| NPI Number | 1043946254 |
|---|---|
| Provider Enumeration Date | 07/29/2022 |
| Last Update Date | 05/22/2024 |
| Certification Date | 05/22/2024 |
| Medicare PECOS PAC ID | 7315323987 |
|---|---|
| Medicare Enrollment ID | O20221005001140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043946254 | NPI | - | NPPES |
| 0499924 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Christine R Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467894196 PECOS PAC ID: 5890020432 Enrollment ID: I20190718001133 |
| Provider Name | Jennifer Joseph |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205497898 PECOS PAC ID: 4880019553 Enrollment ID: I20200729001821 |
| Provider Name | Rachel Boley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881376226 PECOS PAC ID: 3274987359 Enrollment ID: I20230922001470 |
| Provider Name | Jessica L. O'dea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811149800 PECOS PAC ID: 0244673382 Enrollment ID: I20240206002947 |
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