| Oneeighty, Inc. | |
|
104 Spink St Wooster OH 44691-3652 | |
| (330) 264-8498 | |
| (330) 264-3777 |
| Full Name | Oneeighty, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 104 Spink St, Wooster, Ohio |
| Authorized Official Name and Position | Bobbi Douglas (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3302648498 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oneeighty, Inc. 104 Spink St Wooster OH 44691-3652 Ph: (330) 264-8498 | Oneeighty, Inc. 104 Spink St Wooster OH 44691-3652 Ph: (330) 264-8498 |
| NPI Number | 1710244637 |
|---|---|
| Provider Enumeration Date | 04/17/2012 |
| Last Update Date | 02/08/2016 |
| Medicare PECOS PAC ID | 7214244748 |
|---|---|
| Medicare Enrollment ID | O20150916001983 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710244637 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Kathleen M Fox |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710086806 PECOS PAC ID: 8820087158 Enrollment ID: I20040511000665 |
| Provider Name | Nicole T Labor |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1598908485 PECOS PAC ID: 1456525237 Enrollment ID: I20111111000585 |
| Provider Name | Gina Patterson |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1255502654 PECOS PAC ID: 4284932344 Enrollment ID: I20160406001478 |
| Provider Name | John A Fishburn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538658802 PECOS PAC ID: 7911253661 Enrollment ID: I20180710003578 |
| Provider Name | Lynn Layfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871944199 PECOS PAC ID: 0345584975 Enrollment ID: I20181207000917 |
| Provider Name | Jennifer E Peterson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275913410 PECOS PAC ID: 9133451206 Enrollment ID: I20191023002047 |
| Provider Name | Jaimee Leigh Harpster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1568003325 PECOS PAC ID: 4880045699 Enrollment ID: I20240105002184 |
| Provider Name | Alexandria Schafer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245747864 PECOS PAC ID: 3072965094 Enrollment ID: I20240116001008 |
| Provider Name | Cheryl L Thomas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518094150 PECOS PAC ID: 2264876606 Enrollment ID: I20240214000525 |
| Provider Name | Tina M Tabler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164797429 PECOS PAC ID: 5698119030 Enrollment ID: I20240214000661 |
| Provider Name | Lance J Darling-mellott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972856425 PECOS PAC ID: 3870937139 Enrollment ID: I20240215000366 |
| Provider Name | Amber Denise Czupik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982137675 PECOS PAC ID: 4284073073 Enrollment ID: I20240412001395 |
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