| Unison Behavioral Health Group, Inc. | |
|
1425 Starr Ave Toledo OH 43605-2456 | |
| (419) 693-0631 | |
| (419) 936-7606 |
| Full Name | Unison Behavioral Health Group, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1425 Starr Ave, Toledo, Ohio |
| Authorized Official Name and Position | Jacob Mickey (REVENUE CYCLE COORDINATOR/CREDENTIA) |
| Authorized Official Contact | 4196930631 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Unison Behavioral Health Group, Inc. 1425 Starr Ave Toledo OH 43605-2456 Ph: (419) 693-0631 | Unison Behavioral Health Group, Inc. 1425 Starr Ave Toledo OH 43605-2456 Ph: (419) 693-0631 |
| NPI Number | 1952370561 |
|---|---|
| Provider Enumeration Date | 03/16/2006 |
| Last Update Date | 05/14/2020 |
| Certification Date | 05/14/2020 |
| Medicare PECOS PAC ID | 9133160542 |
|---|---|
| Medicare Enrollment ID | O20050517000002 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952370561 | NPI | - | NPPES |
| 2482013 | Medicaid | OH | |
| 0201641 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0231 (Ohio) | Primary |
| Provider Name | Alamdar Kazmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457361768 PECOS PAC ID: 5698663847 Enrollment ID: I20040309000424 |
| Provider Name | Kenneth Sinkey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700079647 PECOS PAC ID: 9537052352 Enrollment ID: I20050419000844 |
| Provider Name | Barbara S Cuddeback |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669540597 PECOS PAC ID: 5193751105 Enrollment ID: I20050712000164 |
| Provider Name | Tufal M Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033168596 PECOS PAC ID: 7416922299 Enrollment ID: I20060327000088 |
| Provider Name | Jahangir Adil |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477587517 PECOS PAC ID: 1658270186 Enrollment ID: I20060731000034 |
| Provider Name | Victoria Calvina Kelly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972513299 PECOS PAC ID: 7012912298 Enrollment ID: I20060921000328 |
| Provider Name | Khalida Durrani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750386173 PECOS PAC ID: 6709976509 Enrollment ID: I20071217000743 |
| Provider Name | Carol Krieger |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1184818742 PECOS PAC ID: 2567540412 Enrollment ID: I20080417000715 |
| Provider Name | Irfan Ahmed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740409333 PECOS PAC ID: 2668528944 Enrollment ID: I20090929000358 |
| Provider Name | Habeeb H Arar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881857043 PECOS PAC ID: 6608913256 Enrollment ID: I20091030000154 |
| Provider Name | Angela P Best |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073654877 PECOS PAC ID: 3577699552 Enrollment ID: I20100329001096 |
| Provider Name | Thomas O Osinowo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1518044585 PECOS PAC ID: 4880723006 Enrollment ID: I20100526001089 |
| Provider Name | Maria I Kostrzewski |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1629067814 PECOS PAC ID: 6507030376 Enrollment ID: I20111114000725 |
| Provider Name | Satwant Gill |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356337406 PECOS PAC ID: 9436323607 Enrollment ID: I20111128000483 |
| Provider Name | Cherie L Tubeileh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750674966 PECOS PAC ID: 9032370085 Enrollment ID: I20120418000456 |
| Provider Name | Christina Clemens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003045618 PECOS PAC ID: 3779734215 Enrollment ID: I20121110000118 |
| Provider Name | Michelle Ducat |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1013297811 PECOS PAC ID: 0042465148 Enrollment ID: I20130220000575 |
| Provider Name | Heather M Voyles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053754937 PECOS PAC ID: 2961641063 Enrollment ID: I20130621000205 |
| Provider Name | Latrice Marie Waddell |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1316375124 PECOS PAC ID: 4981839586 Enrollment ID: I20131107001192 |
| Provider Name | Mikyong Suh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851721377 PECOS PAC ID: 3476780974 Enrollment ID: I20131207000117 |
| Provider Name | Katheryn Palmer |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1851718514 PECOS PAC ID: 1254563166 Enrollment ID: I20140408001180 |
| Provider Name | Sandeep Gupta |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164652418 PECOS PAC ID: 3577786623 Enrollment ID: I20140519001675 |
| Provider Name | Manasa Musunuri |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487929816 PECOS PAC ID: 7113147745 Enrollment ID: I20141002002532 |
| Provider Name | Karen A Tormoehlen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174843262 PECOS PAC ID: 6901075936 Enrollment ID: I20150318001013 |
| Provider Name | Deborah S Tyler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134514458 PECOS PAC ID: 2668784505 Enrollment ID: I20150706002362 |
| Provider Name | Wendy Goodrich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033588025 PECOS PAC ID: 4284934084 Enrollment ID: I20151201000921 |
| Provider Name | Lynn M Ghesquire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578882023 PECOS PAC ID: 2163720210 Enrollment ID: I20160406001220 |
| Provider Name | Megan Bond-stokes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780902262 PECOS PAC ID: 2668770686 Enrollment ID: I20160407000830 |
| Provider Name | Aimee Drescher |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710290424 PECOS PAC ID: 9638469414 Enrollment ID: I20160607001414 |
| Provider Name | Lori Morales |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063838498 PECOS PAC ID: 5496971301 Enrollment ID: I20161006000612 |
| Provider Name | Kelly A Kinsey |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1215344684 PECOS PAC ID: 6608094776 Enrollment ID: I20161006002439 |
| Provider Name | Jeremy K Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053797613 PECOS PAC ID: 9931477262 Enrollment ID: I20170609001180 |
| Provider Name | Timothy Kaminski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912324252 PECOS PAC ID: 4789953738 Enrollment ID: I20170706001740 |
| Provider Name | Ryan Lentz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093225971 PECOS PAC ID: 0143596296 Enrollment ID: I20171018000592 |
| Provider Name | Melissa E Medlen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760888358 PECOS PAC ID: 3072875434 Enrollment ID: I20180322001698 |
| Provider Name | Geneva Chastanet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841476363 PECOS PAC ID: 1456615749 Enrollment ID: I20180515000788 |
| Provider Name | Chelsey N Hamms |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275921249 PECOS PAC ID: 5092064865 Enrollment ID: I20180828001882 |
| Provider Name | Matthew Paul Zalecki |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770962441 PECOS PAC ID: 7416292206 Enrollment ID: I20181226000973 |
| Provider Name | Kristen Curtis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861050767 PECOS PAC ID: 1850627274 Enrollment ID: I20190723002848 |
| Provider Name | Devan M Vargas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801301361 PECOS PAC ID: 6901236652 Enrollment ID: I20200420002528 |
| Provider Name | Melanie Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205323003 PECOS PAC ID: 5890114037 Enrollment ID: I20201007002127 |
| Provider Name | Lee A Cox |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649781659 PECOS PAC ID: 6002236213 Enrollment ID: I20201008002192 |
| Provider Name | Seth K Colvin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972001550 PECOS PAC ID: 1658791561 Enrollment ID: I20201014003540 |
| Provider Name | Deann Stokes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184226227 PECOS PAC ID: 2062825904 Enrollment ID: I20210113001983 |
| Provider Name | Bronwyn E Bell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275126369 PECOS PAC ID: 1153726369 Enrollment ID: I20210826001865 |
| Provider Name | Nathan Stroble |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306354576 PECOS PAC ID: 2466841457 Enrollment ID: I20211112001065 |
| Provider Name | Rebecca A Brown |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710444690 PECOS PAC ID: 9234529561 Enrollment ID: I20211201000628 |
| Provider Name | Nicole Covell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275098006 PECOS PAC ID: 3779979323 Enrollment ID: I20220406003061 |
| Provider Name | Veronica Laverde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376066654 PECOS PAC ID: 4486034998 Enrollment ID: I20220630000598 |
| Provider Name | Kayleen Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508379884 PECOS PAC ID: 1355721879 Enrollment ID: I20220630000730 |
| Provider Name | Ashley L Abraham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679084693 PECOS PAC ID: 8325403660 Enrollment ID: I20230420001977 |
| Provider Name | Brianna Lynn Leary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114430808 PECOS PAC ID: 6204293889 Enrollment ID: I20230613002828 |
| Provider Name | Breanna Scarberry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619483286 PECOS PAC ID: 4981068798 Enrollment ID: I20230913000355 |
| Provider Name | Carrie Camp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942796255 PECOS PAC ID: 6305290735 Enrollment ID: I20231003003385 |
| Provider Name | Richard K Wagner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1184868598 PECOS PAC ID: 8426364084 Enrollment ID: I20231030002734 |
| Provider Name | Jessica Wiles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215418389 PECOS PAC ID: 4880037191 Enrollment ID: I20240202003214 |
| Provider Name | Donita Mcguire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750606786 PECOS PAC ID: 1951745041 Enrollment ID: I20240216001312 |
| Provider Name | Tiffany R Hairston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063843332 PECOS PAC ID: 8325482060 Enrollment ID: I20240221001054 |
| Provider Name | Scott A Knapp |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457755811 PECOS PAC ID: 0042654709 Enrollment ID: I20240221001757 |
| Provider Name | Melissa R Dohse |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912394644 PECOS PAC ID: 8628413150 Enrollment ID: I20240223003141 |
| Provider Name | Carol R Coder |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245727999 PECOS PAC ID: 8628413572 Enrollment ID: I20240229004460 |
| Provider Name | Olga Soto |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1770802233 PECOS PAC ID: 3476999863 Enrollment ID: I20240307002467 |
| Provider Name | Jane F Franckhauser |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1417224718 PECOS PAC ID: 3476990615 Enrollment ID: I20240322002556 |
| Provider Name | Kelli Gunn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962062752 PECOS PAC ID: 3274970439 Enrollment ID: I20240322003027 |
| Provider Name | Pamela M Lee |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225350945 PECOS PAC ID: 8022455054 Enrollment ID: I20240326001381 |
| Provider Name | Julia Manolukas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366055386 PECOS PAC ID: 1355789918 Enrollment ID: I20240402004105 |
| Provider Name | Lindsay G Gregorin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598271215 PECOS PAC ID: 0446698682 Enrollment ID: I20240405002658 |
| Provider Name | Jeremy M Cherry |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972758878 PECOS PAC ID: 4587002746 Enrollment ID: I20240406000005 |
| Provider Name | Kimber Grower Dowling |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033441910 PECOS PAC ID: 4880032945 Enrollment ID: I20240409001709 |
| Provider Name | Heather A Mcbride |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972116408 PECOS PAC ID: 4587003157 Enrollment ID: I20240415004179 |
| Provider Name | Rhonda S Smatlak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1285953455 PECOS PAC ID: 5092155093 Enrollment ID: I20240424001503 |
| Provider Name | Michelle D Lee |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1922879667 PECOS PAC ID: 7214377787 Enrollment ID: I20240501000732 |
| Provider Name | Joel R Sutton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790102119 PECOS PAC ID: 2860832094 Enrollment ID: I20240503003015 |
Larry E Hamme Ph.d Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4125 Monroe St, Toledo, OH 43606 Phone: 419-472-7330 Fax: 419-472-8675 | |
Thera Med Llc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6500 W Central Ave # D-2, Toledo, OH 43617 Phone: 419-841-2298 Fax: 419-841-7245 | |
Water Blue Therapy Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3443 146th St, Toledo, OH 43611 Phone: 419-217-2122 | |
Melanie S Haddox, Md, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 2639 Upton Ave, Toledo, OH 43606 Phone: 419-471-1848 Fax: 419-471-0037 | |
Revitalized Behavioral Healthcare, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5577 Airport Hwy Ste 102, Toledo, OH 43615 Phone: 419-215-5831 | |
Reflections Coaching, Counseling, And Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2475 Collingwood Blvd Ste 110, Toledo, OH 43620 Phone: 419-944-5469 | |
Personal Growth Counseling Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1946 N 13th St Ste 427, Toledo, OH 43604 Phone: 888-746-0756 |