| Churchill Counseling Services, Inc | |
|
4531 Belmont Avenue Youngstown OH 44505-1041 | |
| (330) 759-3040 | |
| (330) 759-3070 |
| Full Name | Churchill Counseling Services, Inc |
|---|---|
| Speciality | Counselor |
| Location | 4531 Belmont Avenue, Youngstown, Ohio |
| Authorized Official Name and Position | Toni Dimargio (CEO) |
| Authorized Official Contact | 3302703040 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Churchill Counseling Services, Inc P.o. Box 3025 Youngstown OH 44511-0025 Ph: (330) 759-3040 | Churchill Counseling Services, Inc 4531 Belmont Avenue Youngstown OH 44505-1041 Ph: (330) 759-3040 |
| NPI Number | 1013996271 |
|---|---|
| Provider Enumeration Date | 01/15/2006 |
| Last Update Date | 11/21/2011 |
| Medicare PECOS PAC ID | 3779532262 |
|---|---|
| Medicare Enrollment ID | O20050121000876 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013996271 | NPI | - | NPPES |
| 0811787 | Medicaid | OH | |
| 2097878 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Phillip G Maiden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1063418168 PECOS PAC ID: 7315909066 Enrollment ID: I20041103001166 |
| Provider Name | William D Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972698116 PECOS PAC ID: 6305943382 Enrollment ID: I20070529000022 |
| Provider Name | Karen Kiriazis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902899701 PECOS PAC ID: 2466523956 Enrollment ID: I20080611000001 |
| Provider Name | Linda M Caimano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851609614 PECOS PAC ID: 3173649076 Enrollment ID: I20100929000041 |
| Provider Name | Wanda Cassavettes |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1578850459 PECOS PAC ID: 2769651561 Enrollment ID: I20110812000098 |
| Provider Name | Karen Paradise |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720208663 PECOS PAC ID: 1557511904 Enrollment ID: I20121022000424 |
| Provider Name | Jana L Kanos |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275972358 PECOS PAC ID: 1658599196 Enrollment ID: I20140826001027 |
| Provider Name | Paulette S Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821408915 PECOS PAC ID: 5496049223 Enrollment ID: I20160802002077 |
| Provider Name | Danielle L Morrone |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1265953582 PECOS PAC ID: 8224308549 Enrollment ID: I20170719002955 |
| Provider Name | Gladys E Mcintosh-thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972971398 PECOS PAC ID: 4587925128 Enrollment ID: I20180222002832 |
| Provider Name | Reyna Marian Thomae-starzyk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790274306 PECOS PAC ID: 5799110151 Enrollment ID: I20200114001094 |
| Provider Name | Nancy M Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275961401 PECOS PAC ID: 8325477961 Enrollment ID: I20200402003680 |
| Provider Name | Angie Denicholas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265910855 PECOS PAC ID: 0143634030 Enrollment ID: I20210204002339 |
| Provider Name | Derek J Doss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336658301 PECOS PAC ID: 8729436431 Enrollment ID: I20231117002831 |
| Provider Name | Susan Coonrod |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366527087 PECOS PAC ID: 9234572660 Enrollment ID: I20240213001215 |
| Provider Name | Cody Mcmillan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669066171 PECOS PAC ID: 7214371640 Enrollment ID: I20240214000287 |
| Provider Name | Toni Dimargio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710006077 PECOS PAC ID: 7315996808 Enrollment ID: I20240214001608 |
| Provider Name | Susan Wardle-burke |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407975600 PECOS PAC ID: 6406292739 Enrollment ID: I20240308003397 |
| Provider Name | Christina Bigowsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487774279 PECOS PAC ID: 1759474760 Enrollment ID: I20240311000952 |
| Provider Name | Toni Raseta |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790086205 PECOS PAC ID: 5890132609 Enrollment ID: I20240327004239 |
| Provider Name | Jennifer Palumbo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013036292 PECOS PAC ID: 9638517428 Enrollment ID: I20240328003559 |
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