| Community Support Services, Inc | |
|
150 Cross St Akron OH 44311-1026 | |
| (330) 996-9141 | |
| (330) 253-0377 |
| Full Name | Community Support Services, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 Cross St, Akron, Ohio |
| Authorized Official Name and Position | Terrence B Dalton (CEO/PRESIDENT) |
| Authorized Official Contact | 3309969141 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Support Services, Inc 150 Cross St Suite 110 Akron OH 44311-1026 Ph: (330) 996-9141 | Community Support Services, Inc 150 Cross St Akron OH 44311-1026 Ph: (330) 996-9141 |
| NPI Number | 1457505968 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 11/11/2008 |
| Medicare PECOS PAC ID | 7911993415 |
|---|---|
| Medicare Enrollment ID | O20040421000888 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457505968 | NPI | - | NPPES |
| 2473934 | Medicaid | OH | |
| 2314481 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 9928171 (Ohio) | Primary |
| Provider Name | Nita Arora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689791188 PECOS PAC ID: 9931168770 Enrollment ID: I20041006001516 |
| Provider Name | Heather Queen-williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427146679 PECOS PAC ID: 8022016187 Enrollment ID: I20061128000158 |
| Provider Name | Tammy Huber Wilkins |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770591794 PECOS PAC ID: 5193824555 Enrollment ID: I20070626000221 |
| Provider Name | Kendrick Bashor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457355083 PECOS PAC ID: 4284724287 Enrollment ID: I20071213000865 |
| Provider Name | Richard M Hofacker |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356319917 PECOS PAC ID: 3072689397 Enrollment ID: I20080910000004 |
| Provider Name | Eileen Schwartz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1043308299 PECOS PAC ID: 1153455241 Enrollment ID: I20100811000287 |
| Provider Name | Harry J Sivec |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922194240 PECOS PAC ID: 1456536143 Enrollment ID: I20110422000023 |
| Provider Name | Sara West |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1639382062 PECOS PAC ID: 2567619125 Enrollment ID: I20120904000580 |
| Provider Name | Lashelle Henderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831302264 PECOS PAC ID: 5395983340 Enrollment ID: I20130603000339 |
| Provider Name | Janet K Catalano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255743449 PECOS PAC ID: 5092038117 Enrollment ID: I20141222001940 |
| Provider Name | Sandra M Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194112227 PECOS PAC ID: 0941505663 Enrollment ID: I20160217002607 |
| Provider Name | Sherita Cody |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528534260 PECOS PAC ID: 4587904370 Enrollment ID: I20190313002485 |
| Provider Name | Cynthia Lynn Taylor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518425701 PECOS PAC ID: 2264773175 Enrollment ID: I20190402002269 |
| Provider Name | Ryan Younkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477065480 PECOS PAC ID: 6305171836 Enrollment ID: I20190705000518 |
| Provider Name | Marie Dailey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558872168 PECOS PAC ID: 0446689129 Enrollment ID: I20200331003093 |
| Provider Name | Robert Parise |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144608571 PECOS PAC ID: 6204133507 Enrollment ID: I20200710001308 |
| Provider Name | Dawnielle L Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730706011 PECOS PAC ID: 9436577160 Enrollment ID: I20200914000365 |
| Provider Name | Michelle Villalba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184240202 PECOS PAC ID: 7214356294 Enrollment ID: I20200924000412 |
| Provider Name | Amanda Tanner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730673351 PECOS PAC ID: 0840610028 Enrollment ID: I20201009001903 |
| Provider Name | Danielle L Davis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679180111 PECOS PAC ID: 3476963471 Enrollment ID: I20201103000827 |
| Provider Name | David J. Noga |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073018974 PECOS PAC ID: 0749537538 Enrollment ID: I20220513000674 |
| Provider Name | Allyson Williams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528575859 PECOS PAC ID: 3274986633 Enrollment ID: I20240201001792 |
| Provider Name | Stephanie Cull |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497099170 PECOS PAC ID: 8325491715 Enrollment ID: I20240201002650 |
| Provider Name | Julie Morig |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023550902 PECOS PAC ID: 9133562770 Enrollment ID: I20240209003512 |
| Provider Name | Meichelle Morton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619357563 PECOS PAC ID: 8022451665 Enrollment ID: I20240209003577 |
| Provider Name | Kelly Horsfall |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639671613 PECOS PAC ID: 8325482458 Enrollment ID: I20240216002416 |
| Provider Name | Emily J Bryan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841817095 PECOS PAC ID: 6406293281 Enrollment ID: I20240328002493 |
| Provider Name | Sean Lynch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386156735 PECOS PAC ID: 2769717206 Enrollment ID: I20240328003222 |
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