| Katelyn Marie Stevens, | |
|
2801 C Court, Ashtabula, OH 44004-4577 | |
| (440) 998-4210 | |
| (440) 998-6489 |
| Full Name | Katelyn Marie Stevens |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 2801 C Court, Ashtabula, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679083059 | NPI | - | NPPES |
| 0388473 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | E.2303737 (Ohio) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
| Entity Name | Community Counseling Center Of Ashtabula County |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720029622 PECOS PAC ID: 7113830118 Enrollment ID: O20031106000414 |
| Mailing Address | Practice Location Address |
|---|---|
| Katelyn Marie Stevens, 2801 C Court, Ashtabula, OH 44004-4577 Ph: (440) 998-4210 | Katelyn Marie Stevens, 2801 C Court, Ashtabula, OH 44004-4577 Ph: (440) 998-4210 |
Karen Fronczak, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2801 C Ct, Ashtabula, OH 44004 Phone: 440-998-4210 Fax: 440-998-2247 | |
Jason Robert Carmody, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2210 S Ridge Rd E, Ashtabula, OH 44004 Phone: 513-834-7063 | |
Haylee Mcmahon, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 620 W 44th St, Ashtabula, OH 44004 Phone: 440-650-5030 | |
Christopher Cope, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3418 Lake Ave, Ashtabula, OH 44004 Phone: 440-650-5030 | |
Carlen Pittman, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3418 Lake Ave, Ashtabula, OH 44004 Phone: 440-650-5030 | |
Adrianna Volpi, CDCA Counselor Medicare: Not Enrolled in Medicare Practice Location: 3225 Lake Ave, Ashtabula, OH 44004 Phone: 440-650-5030 | |
Amanda Kathleen Brace, LPCC-S, M.ED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2334 Lake Ave, Ashtabula, OH 44004 Phone: 440-361-0127 |