| Frs Counseling | |
|
104 Erin Ct Hillsboro OH 45133-8591 | |
| (937) 393-9720 | |
| (937) 393-9703 |
| Full Name | Frs Counseling |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 104 Erin Ct, Hillsboro, Ohio |
| Authorized Official Name and Position | Roger Cheesbro (CEO) |
| Authorized Official Contact | 9373934562 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Frs Counseling Po Box 823 313 Chillicothe Avenue Hillsboro OH 45133-0823 Ph: (937) 393-4562 | Frs Counseling 104 Erin Ct Hillsboro OH 45133-8591 Ph: (937) 393-9720 |
| NPI Number | 1891055133 |
|---|---|
| Provider Enumeration Date | 05/21/2012 |
| Last Update Date | 08/09/2022 |
| Certification Date | 08/09/2022 |
| Medicare PECOS PAC ID | 5496016925 |
|---|---|
| Medicare Enrollment ID | O20180226001831 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891055133 | NPI | - | NPPES |
| 1891055133 | Medicaid | OH | |
| 1417917063 | Medicaid | OH | |
| 2846684 | Medicaid | OH | |
| 2864584 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Ohio) | Primary |
| Provider Name | Erin M Holsted |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962453209 PECOS PAC ID: 0749280535 Enrollment ID: I20061229000146 |
| Provider Name | Jennifer D Maynard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386186583 PECOS PAC ID: 4789967183 Enrollment ID: I20170209000870 |
| Provider Name | Charles E Russell |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1245220912 PECOS PAC ID: 3577450394 Enrollment ID: I20180315000606 |
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