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135 E Erie St Ste 302 Kent OH 44240-3594 | |
| (330) 593-5959 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Counselor |
| Location | 135 E Erie St Ste 302, Kent, Ohio |
| Authorized Official Name and Position | Phyllis A Vair (COUNSELOR) |
| Authorized Official Contact | 3305935959 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
135 E Erie St Ste 302 Kent OH 44240-3594 Ph: (330) 593-5959 | 135 E Erie St Ste 302 Kent OH 44240-3594 Ph: (330) 593-5959 |
| NPI Number | 1295220986 |
|---|---|
| Provider Enumeration Date | 06/26/2018 |
| Last Update Date | 02/14/2020 |
| Certification Date | 02/14/2020 |
| Medicare PECOS PAC ID | 2961885314 |
|---|---|
| Medicare Enrollment ID | O20220817001683 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295220986 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Dina M Douglas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023500691 PECOS PAC ID: 0042554685 Enrollment ID: I20181207001496 |
| Provider Name | Christina R Dawson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922658202 PECOS PAC ID: 3779813910 Enrollment ID: I20191001001902 |
| Provider Name | Shannon Rae Speaks |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073122313 PECOS PAC ID: 8224437421 Enrollment ID: I20210520000288 |
| Provider Name | Christie Rush |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871096008 PECOS PAC ID: 8426404286 Enrollment ID: I20231031000377 |
| Provider Name | Phyllis Ann Vair |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073031373 PECOS PAC ID: 1153769955 Enrollment ID: I20240328003703 |
| Provider Name | Alexandra Sommer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487221529 PECOS PAC ID: 7315488541 Enrollment ID: I20240916001645 |
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 | |