| Coleman Professional Services, Inc. | |
|
5982 Rhodes Rd Kent OH 44240-4128 | |
| (330) 673-1347 | |
| (330) 678-3677 |
| Full Name | Coleman Professional Services, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 5982 Rhodes Rd, Kent, Ohio |
| Authorized Official Name and Position | Diana Keathley (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 3306766826 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coleman Professional Services, Inc. 5982 Rhodes Rd Kent OH 44240-4128 Ph: (330) 673-1347 | Coleman Professional Services, Inc. 5982 Rhodes Rd Kent OH 44240-4128 Ph: (330) 673-1347 |
| NPI Number | 1982637633 |
|---|---|
| Provider Enumeration Date | 07/08/2006 |
| Last Update Date | 11/01/2007 |
| Medicare PECOS PAC ID | 2769474618 |
|---|---|
| Medicare Enrollment ID | O20040331001085 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982637633 | NPI | - | NPPES |
| 8215 | Other | OH | PORTAGE COUNTY MACSIS UPI |
| Provider Name | David K Swope |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699871707 PECOS PAC ID: 5092785238 Enrollment ID: I20040727000699 |
| Provider Name | Larissa Elgudin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629004387 PECOS PAC ID: 2163498858 Enrollment ID: I20040903000387 |
| Provider Name | Elizabeth R Holmes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1013946151 PECOS PAC ID: 5698742906 Enrollment ID: I20040915001025 |
| Provider Name | Humayun Chughtai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992801088 PECOS PAC ID: 9234038001 Enrollment ID: I20040930000002 |
| Provider Name | Bradly P Winkhart |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376520445 PECOS PAC ID: 6002877735 Enrollment ID: I20041025001142 |
| Provider Name | Sharen E Orso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245488089 PECOS PAC ID: 6002870649 Enrollment ID: I20041115000346 |
| Provider Name | Lois L Nicholson |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1457440257 PECOS PAC ID: 2062463193 Enrollment ID: I20050207000556 |
| Provider Name | Heather Shahan |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144467754 PECOS PAC ID: 5698729093 Enrollment ID: I20050309000252 |
| Provider Name | Jeffrey Jones |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1891855482 PECOS PAC ID: 6608815337 Enrollment ID: I20050502000656 |
| Provider Name | Roy Vellanki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750465811 PECOS PAC ID: 6709820178 Enrollment ID: I20050616000250 |
| Provider Name | Frank John Gorbett |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1770706988 PECOS PAC ID: 3779512207 Enrollment ID: I20050805000014 |
| Provider Name | Subrata Roy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649278151 PECOS PAC ID: 8022036649 Enrollment ID: I20051102000847 |
| Provider Name | Christopher J Kalb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952347338 PECOS PAC ID: 4486677002 Enrollment ID: I20060110000727 |
| Provider Name | Ann M Knoderer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629437694 PECOS PAC ID: 0244254340 Enrollment ID: I20060117000190 |
| Provider Name | Dustin Blakeslee |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659399251 PECOS PAC ID: 9537163902 Enrollment ID: I20060828000373 |
| Provider Name | Kelly Jean Kunkler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427135110 PECOS PAC ID: 3971503293 Enrollment ID: I20070110000037 |
| Provider Name | Myung S Kwak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821198102 PECOS PAC ID: 8628078995 Enrollment ID: I20070110000503 |
| Provider Name | Mayur M Pandya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1437355781 PECOS PAC ID: 9436259397 Enrollment ID: I20070709000151 |
| Provider Name | Darlene Baliga-brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821284050 PECOS PAC ID: 3870689276 Enrollment ID: I20071017000229 |
| Provider Name | Deborah M Dyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316020506 PECOS PAC ID: 6709973308 Enrollment ID: I20071029000776 |
| Provider Name | Todd T Wilke |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144397399 PECOS PAC ID: 8820170855 Enrollment ID: I20080130000437 |
| Provider Name | Jean M Alban |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689863896 PECOS PAC ID: 4880773894 Enrollment ID: I20080501000683 |
| Provider Name | Kenneth Scott Pacer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033237300 PECOS PAC ID: 5294885570 Enrollment ID: I20090608000413 |
| Provider Name | Michelle R Furbee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659508158 PECOS PAC ID: 3870639198 Enrollment ID: I20090930000102 |
| Provider Name | Kathleen Shannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225137219 PECOS PAC ID: 9234278375 Enrollment ID: I20091202000260 |
| Provider Name | Susan Barker |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1356678429 PECOS PAC ID: 0345389052 Enrollment ID: I20091209000063 |
| Provider Name | Elizabeth A Mcclure |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952467342 PECOS PAC ID: 0547305880 Enrollment ID: I20100311000011 |
| Provider Name | Allison E Cowan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710185020 PECOS PAC ID: 4183816705 Enrollment ID: I20101014000014 |
| Provider Name | Edward C Pierson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1962471409 PECOS PAC ID: 3476652611 Enrollment ID: I20111123000289 |
| Provider Name | Edith M Todd |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669695706 PECOS PAC ID: 6901065077 Enrollment ID: I20120308000482 |
| Provider Name | Karen P Fleming |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578775508 PECOS PAC ID: 4082873856 Enrollment ID: I20120314000417 |
| Provider Name | Brian C. Welsh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1205954591 PECOS PAC ID: 8426217290 Enrollment ID: I20120314000434 |
| Provider Name | Heather Ann Hudson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902040256 PECOS PAC ID: 1850551243 Enrollment ID: I20120321000833 |
| Provider Name | Cherie L Tubeileh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750674966 PECOS PAC ID: 9032370085 Enrollment ID: I20120418000456 |
| Provider Name | Melanie A Woods |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689834830 PECOS PAC ID: 7315101235 Enrollment ID: I20120605000663 |
| Provider Name | Therese Scavelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710205828 PECOS PAC ID: 4789834961 Enrollment ID: I20121024000495 |
| Provider Name | Julie M Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477803419 PECOS PAC ID: 1557512266 Enrollment ID: I20121106000188 |
| Provider Name | Alan T Shimer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639469190 PECOS PAC ID: 5193978500 Enrollment ID: I20130116000121 |
| Provider Name | Peter J Botti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023224441 PECOS PAC ID: 8628213816 Enrollment ID: I20130315000379 |
| Provider Name | Jenna L Kimmel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184960593 PECOS PAC ID: 2264671635 Enrollment ID: I20130614000235 |
| Provider Name | Maureen Coughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861635443 PECOS PAC ID: 0345477493 Enrollment ID: I20131216001551 |
| Provider Name | Elizabeth Osborne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396168662 PECOS PAC ID: 3173752011 Enrollment ID: I20140218001966 |
| Provider Name | Stephen Inchak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871911966 PECOS PAC ID: 3971726183 Enrollment ID: I20140515001102 |
| Provider Name | Joanne H Villegas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154752483 PECOS PAC ID: 7113145350 Enrollment ID: I20140829000292 |
| Provider Name | Fabian Glen Rosel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174925838 PECOS PAC ID: 5193946432 Enrollment ID: I20141029002363 |
| Provider Name | Amanda K Klapchar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396087177 PECOS PAC ID: 9931421567 Enrollment ID: I20141209001974 |
| Provider Name | Khalilah Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720482540 PECOS PAC ID: 4284956616 Enrollment ID: I20141213000056 |
| Provider Name | Heather Tackett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588083455 PECOS PAC ID: 5597089615 Enrollment ID: I20150121000424 |
| Provider Name | Jacqueline Countryman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396802096 PECOS PAC ID: 4183681919 Enrollment ID: I20150203001795 |
| Provider Name | Gregg Alan Stephens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053508309 PECOS PAC ID: 5092023952 Enrollment ID: I20150928000549 |
| Provider Name | Shandi Rothman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306231451 PECOS PAC ID: 5890003669 Enrollment ID: I20150928001111 |
| Provider Name | Jeremy Abraham Schreiber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508234147 PECOS PAC ID: 9537469762 Enrollment ID: I20151119002439 |
| Provider Name | Michelle O Garrett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760852289 PECOS PAC ID: 9032410824 Enrollment ID: I20151221001772 |
| Provider Name | Brankica M Podravac |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225414410 PECOS PAC ID: 7517261217 Enrollment ID: I20160201000362 |
| Provider Name | Kenneth J Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225066418 PECOS PAC ID: 3870773310 Enrollment ID: I20160301002142 |
| Provider Name | Chase R Sullivan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528427507 PECOS PAC ID: 1658677240 Enrollment ID: I20160308001241 |
| Provider Name | Steven Mates |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477923423 PECOS PAC ID: 6204132897 Enrollment ID: I20160308001497 |
| Provider Name | Mary C Smith |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568852952 PECOS PAC ID: 9931405081 Enrollment ID: I20160315002825 |
| Provider Name | Sonal Sinha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336495258 PECOS PAC ID: 4486944188 Enrollment ID: I20160608002596 |
| Provider Name | Angela L Parson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669677373 PECOS PAC ID: 9234421439 Enrollment ID: I20160708000883 |
| Provider Name | Bethany R Gillespie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770031882 PECOS PAC ID: 9335437904 Enrollment ID: I20161013002473 |
| Provider Name | Sara J Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407258221 PECOS PAC ID: 9638452816 Enrollment ID: I20170214000761 |
| Provider Name | Tracey R Mckiernan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023129350 PECOS PAC ID: 5395844906 Enrollment ID: I20170314001537 |
| Provider Name | Mark A Dal Pra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417048968 PECOS PAC ID: 3072898592 Enrollment ID: I20170324001777 |
| Provider Name | Misty Mcdowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790834265 PECOS PAC ID: 4789960766 Enrollment ID: I20170405000707 |
| Provider Name | Robert Ossler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336690932 PECOS PAC ID: 5294002036 Enrollment ID: I20170525001989 |
| Provider Name | Manon Paquet-satrape |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063888444 PECOS PAC ID: 2163799727 Enrollment ID: I20170601002877 |
| Provider Name | Akeem A Adeniyi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720513443 PECOS PAC ID: 5597035956 Enrollment ID: I20170719000010 |
| Provider Name | Jennifer L Franckhauser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174043400 PECOS PAC ID: 3577834340 Enrollment ID: I20170814000364 |
| Provider Name | Lareane Nuby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770936809 PECOS PAC ID: 5597037465 Enrollment ID: I20170828002257 |
| Provider Name | Michael Putinski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548668247 PECOS PAC ID: 6800152133 Enrollment ID: I20171102000812 |
| Provider Name | Scott Rohrbaugh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982113023 PECOS PAC ID: 5890051122 Enrollment ID: I20171102000847 |
| Provider Name | Mallory Dangelo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1912392143 PECOS PAC ID: 8921364753 Enrollment ID: I20171113000538 |
| Provider Name | Steffany R Morton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639512197 PECOS PAC ID: 9739446428 Enrollment ID: I20171205003092 |
| Provider Name | Liberty Fritzler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952694226 PECOS PAC ID: 2668604372 Enrollment ID: I20171219001634 |
| Provider Name | Michael K Parish |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1336566256 PECOS PAC ID: 0749549111 Enrollment ID: I20180109003557 |
| Provider Name | Amie Noe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730431750 PECOS PAC ID: 9638430366 Enrollment ID: I20180221000295 |
| Provider Name | Emily Hudak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063922078 PECOS PAC ID: 8628339355 Enrollment ID: I20180221000320 |
| Provider Name | Margrete Anne Irish-pearson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619147451 PECOS PAC ID: 7618047457 Enrollment ID: I20180320000839 |
| Provider Name | Tina Steen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003339656 PECOS PAC ID: 8527321272 Enrollment ID: I20180411002487 |
| Provider Name | Sherise Bogan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356787667 PECOS PAC ID: 6406111970 Enrollment ID: I20180604002412 |
| Provider Name | Emily D Reljin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851885651 PECOS PAC ID: 2466708268 Enrollment ID: I20180710001030 |
| Provider Name | Kimberly Butler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528570025 PECOS PAC ID: 7911256151 Enrollment ID: I20180821001414 |
| Provider Name | Ronald D Sine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457857658 PECOS PAC ID: 7517218456 Enrollment ID: I20180917001049 |
| Provider Name | Elizabeth A Pfalzgraf |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184105223 PECOS PAC ID: 7911259874 Enrollment ID: I20181004001777 |
| Provider Name | Judy Chava |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629556949 PECOS PAC ID: 0648522896 Enrollment ID: I20181016002901 |
| Provider Name | Michelle E Eller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669564480 PECOS PAC ID: 8729050588 Enrollment ID: I20181018001741 |
| Provider Name | Tessa C Basco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013433937 PECOS PAC ID: 5496008260 Enrollment ID: I20181024001129 |
| Provider Name | Angelette Tenhoven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942703079 PECOS PAC ID: 7416201637 Enrollment ID: I20181106003229 |
| Provider Name | Kimberly S Wykoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801399506 PECOS PAC ID: 1658615497 Enrollment ID: I20181204003725 |
| Provider Name | Lori Acerro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235630807 PECOS PAC ID: 7517208473 Enrollment ID: I20190403001240 |
| Provider Name | Susan Stroup |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053666487 PECOS PAC ID: 2466794193 Enrollment ID: I20190430001150 |
| Provider Name | Michael Mcfadden |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881127728 PECOS PAC ID: 6901132034 Enrollment ID: I20190729000675 |
| Provider Name | John Michael Barnett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194240937 PECOS PAC ID: 6709152143 Enrollment ID: I20190729002638 |
| Provider Name | Erik Schepens |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053775874 PECOS PAC ID: 1557698768 Enrollment ID: I20190812001022 |
| Provider Name | Syed Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699208793 PECOS PAC ID: 9133490113 Enrollment ID: I20190812001916 |
| Provider Name | Timothy Kantz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891141222 PECOS PAC ID: 1153658042 Enrollment ID: I20190815001324 |
| Provider Name | Robert W Hermanowski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891893947 PECOS PAC ID: 7719073055 Enrollment ID: I20190829002304 |
| Provider Name | Lynsey Yard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093214454 PECOS PAC ID: 2860721461 Enrollment ID: I20190906002453 |
| Provider Name | Joseph Fondriest |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447783154 PECOS PAC ID: 2769711191 Enrollment ID: I20190911000722 |
| Provider Name | Keri Deyling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033535240 PECOS PAC ID: 1052747144 Enrollment ID: I20200210000921 |
| Provider Name | Madison Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699326637 PECOS PAC ID: 5991131005 Enrollment ID: I20200210001806 |
| Provider Name | Allison R Petranic |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922508167 PECOS PAC ID: 6305275892 Enrollment ID: I20200403002504 |
| Provider Name | Nicholas Fulks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053812966 PECOS PAC ID: 4486083854 Enrollment ID: I20200406002240 |
| Provider Name | Kayla Craig |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770083818 PECOS PAC ID: 8729405816 Enrollment ID: I20200903002527 |
| Provider Name | Katherine R Spragg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144723271 PECOS PAC ID: 7012332034 Enrollment ID: I20200909003416 |
| Provider Name | Andrea Ankney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477054039 PECOS PAC ID: 2769801877 Enrollment ID: I20200923000795 |
| Provider Name | Mackenzie Kriss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720527138 PECOS PAC ID: 8123447661 Enrollment ID: I20201001002147 |
| Provider Name | Tristan Reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942657945 PECOS PAC ID: 0042620122 Enrollment ID: I20201030000641 |
| Provider Name | Danielle Smalley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457840951 PECOS PAC ID: 1759791361 Enrollment ID: I20201111001014 |
| Provider Name | Kristina Drummer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043813538 PECOS PAC ID: 9032524681 Enrollment ID: I20210212001806 |
| Provider Name | Laura A Pritt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598213951 PECOS PAC ID: 5890101109 Enrollment ID: I20210311002073 |
| Provider Name | Kelly Biese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386147635 PECOS PAC ID: 8123435351 Enrollment ID: I20210405002391 |
| Provider Name | Gary Edmison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215438270 PECOS PAC ID: 2365859402 Enrollment ID: I20210407002264 |
| Provider Name | Elizabeth Harris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366030850 PECOS PAC ID: 6406265875 Enrollment ID: I20210514001849 |
| Provider Name | Jenny Beitko |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750976858 PECOS PAC ID: 1456751767 Enrollment ID: I20210608001952 |
| Provider Name | Samantha Gruber |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073193900 PECOS PAC ID: 4981006103 Enrollment ID: I20210712000901 |
| Provider Name | Jennifer Uhl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588825574 PECOS PAC ID: 0648342352 Enrollment ID: I20210809003004 |
| Provider Name | Kelly Macmullin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427549328 PECOS PAC ID: 6608270905 Enrollment ID: I20210809003391 |
| Provider Name | Catherine Chudakoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780933887 PECOS PAC ID: 7810391059 Enrollment ID: I20210810001124 |
| Provider Name | Audray Allen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447484795 PECOS PAC ID: 8022415942 Enrollment ID: I20210920003097 |
| Provider Name | Vhari F Kashay |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184397358 PECOS PAC ID: 5294132601 Enrollment ID: I20210928003019 |
| Provider Name | Mark Werstler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114690344 PECOS PAC ID: 0648677930 Enrollment ID: I20210929002746 |
| Provider Name | Jennifer D Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265005615 PECOS PAC ID: 6204234065 Enrollment ID: I20211007003362 |
| Provider Name | Marci Plaugher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770945933 PECOS PAC ID: 5991195869 Enrollment ID: I20211208001443 |
| Provider Name | Sarah Cox |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508011651 PECOS PAC ID: 6204210396 Enrollment ID: I20220909000377 |
| Provider Name | Tina Louise Snell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285389221 PECOS PAC ID: 5698151074 Enrollment ID: I20221008000376 |
| Provider Name | Lyndley Corley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871224147 PECOS PAC ID: 2163898644 Enrollment ID: I20221025002368 |
| Provider Name | Margaret Theado |
|---|---|
| Provider Type | Practitioner - Other (non-physician) |
| Provider Identifiers | NPI Number: 1750732939 PECOS PAC ID: 0244692812 Enrollment ID: I20230814002291 |
| Provider Name | Alicia Myslinsky |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255020806 PECOS PAC ID: 1456712447 Enrollment ID: I20231004002902 |
| Provider Name | Layla E Armstrong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851893242 PECOS PAC ID: 5991150559 Enrollment ID: I20231017002290 |
| Provider Name | Alexia Gardi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912536293 PECOS PAC ID: 7911353016 Enrollment ID: I20231030003485 |
| Provider Name | Shawnda Hochstetler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1851604219 PECOS PAC ID: 2062862147 Enrollment ID: I20240102003003 |
| Provider Name | Dawn Y Carter |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104996958 PECOS PAC ID: 7517319346 Enrollment ID: I20240117003788 |
| Provider Name | Kasey Osselborn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376194456 PECOS PAC ID: 8729430335 Enrollment ID: I20240119000745 |
| Provider Name | William Russell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740698331 PECOS PAC ID: 9830541457 Enrollment ID: I20240119001019 |
| Provider Name | Paul Schoenberg |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962615534 PECOS PAC ID: 7315399870 Enrollment ID: I20240119002655 |
| Provider Name | Jill Ward |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1174024723 PECOS PAC ID: 1850743337 Enrollment ID: I20240119003156 |
| Provider Name | Amy Molnar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720587850 PECOS PAC ID: 1557713039 Enrollment ID: I20240119003270 |
| Provider Name | Robert R Zinn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194906453 PECOS PAC ID: 6901258482 Enrollment ID: I20240119003345 |
| Provider Name | Megan Petruzzi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285704023 PECOS PAC ID: 6608228036 Enrollment ID: I20240122000683 |
| Provider Name | Joseph Viera |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679080337 PECOS PAC ID: 9133572373 Enrollment ID: I20240124002665 |
| Provider Name | April Pryor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013221456 PECOS PAC ID: 8123471307 Enrollment ID: I20240124003812 |
| Provider Name | Katy Murphy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548757396 PECOS PAC ID: 6608229620 Enrollment ID: I20240125004541 |
| Provider Name | Kathryn A Abersold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336302694 PECOS PAC ID: 8123471158 Enrollment ID: I20240125004715 |
| Provider Name | Ashley Loucek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780182089 PECOS PAC ID: 5890148571 Enrollment ID: I20240130000311 |
| Provider Name | Raelyn J Connor |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033310297 PECOS PAC ID: 2668825399 Enrollment ID: I20240130001805 |
| Provider Name | Erin Mcgee-hopkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548755036 PECOS PAC ID: 2264885862 Enrollment ID: I20240131000905 |
| Provider Name | Andrea L Dominick |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1235266743 PECOS PAC ID: 4789014226 Enrollment ID: I20240131001518 |
| Provider Name | Mandi Workman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013325430 PECOS PAC ID: 3173976792 Enrollment ID: I20240131001585 |
| Provider Name | Jessica Eicher |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154952448 PECOS PAC ID: 7315390895 Enrollment ID: I20240131003742 |
| Provider Name | Lauren Persinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346740164 PECOS PAC ID: 0648613414 Enrollment ID: I20240208001877 |
| Provider Name | Celeste A Mullen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356404941 PECOS PAC ID: 2961846423 Enrollment ID: I20240223000559 |
| Provider Name | Felicia M Laube |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215567169 PECOS PAC ID: 7012351588 Enrollment ID: I20240223000748 |
| Provider Name | Jonathon Wise |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457853616 PECOS PAC ID: 2769827872 Enrollment ID: I20240228003625 |
| Provider Name | Heather H Hawthorne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780350520 PECOS PAC ID: 9537504659 Enrollment ID: I20240228004156 |
| Provider Name | Samantha Brooks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861976284 PECOS PAC ID: 8123463163 Enrollment ID: I20240229000357 |
| Provider Name | Kaci Lapp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477908036 PECOS PAC ID: 7911344858 Enrollment ID: I20240327001002 |
| Provider Name | Sarah Culver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154372878 PECOS PAC ID: 2163860966 Enrollment ID: I20240328003645 |
| Provider Name | Justin Berenyi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1942641295 PECOS PAC ID: 7719325596 Enrollment ID: I20240401000172 |
| Provider Name | Jessica Helbling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922468115 PECOS PAC ID: 5193163657 Enrollment ID: I20240402004525 |
| Provider Name | Carmella M Hill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427458843 PECOS PAC ID: 6002254562 Enrollment ID: I20240403000001 |
| Provider Name | Megan Kane |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881193886 PECOS PAC ID: 7810335379 Enrollment ID: I20240403000006 |
| Provider Name | Daniel Bell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447773999 PECOS PAC ID: 6002254570 Enrollment ID: I20240403000372 |
| Provider Name | Hannah E Potts |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285129890 PECOS PAC ID: 8325486335 Enrollment ID: I20240409003509 |
| Provider Name | Anthony J Rudlosky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912191297 PECOS PAC ID: 1456799469 Enrollment ID: I20240409003718 |
| Provider Name | Paul Sarsany |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578981668 PECOS PAC ID: 3072951094 Enrollment ID: I20240409003831 |
| Provider Name | Joshua A Lemley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578062691 PECOS PAC ID: 4688013238 Enrollment ID: I20240416002913 |
| Provider Name | Theresa Lash |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790087823 PECOS PAC ID: 5799124905 Enrollment ID: I20240422000863 |
| Provider Name | Abby L Griffith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437609393 PECOS PAC ID: 9638519697 Enrollment ID: I20240424004140 |
| Provider Name | Angela R Sipos |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063643351 PECOS PAC ID: 4789126061 Enrollment ID: I20240603002675 |
| Provider Name | Tricia A Podkowa |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811481138 PECOS PAC ID: 3476095530 Enrollment ID: I20240605001291 |
Redmond And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 W Main St, Suite 102, Kent, OH 44240 Phone: 330-678-9210 Fax: 330-676-1199 | |
Jill L. Jividen Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 E Main St Fl 2, Kent, OH 44240 Phone: 330-414-5652 | |
Coleman Professional Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5982 Rhodes Rd, Kent, OH 44240 Phone: 330-673-1347 Fax: 330-678-3677 | |
Caritas Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 40 Picadilly Ct, Kent, OH 44240 Phone: 330-630-3210 | |
Cathy C. Kane, Ph.d Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 401 Devon Pl, Suite 230, Kent, OH 44240 Phone: 330-673-9111 | |
Center For Healthy Aging Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 265 W Main St, Suite 102, Kent, OH 44240 Phone: 330-678-9210 Fax: 330-676-1199 | |
Ksu Deweese Health Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1500 Eastway Dr, Kent, OH 44242 Phone: 330-672-8194 Fax: 330-672-2272 |