| Shalom Ministries Inc | |
|
22251 State Route 2 Archbold OH 43502-9452 | |
| (419) 445-1552 | |
| (419) 445-1401 |
| Full Name | Shalom Ministries Inc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 22251 State Route 2, Archbold, Ohio |
| Authorized Official Name and Position | Jessica Bittner (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4194451552 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalom Ministries Inc 22251 State Route 2 Archbold OH 43502-9452 Ph: (419) 445-1552 | Shalom Ministries Inc 22251 State Route 2 Archbold OH 43502-9452 Ph: (419) 445-1552 |
| NPI Number | 1366573552 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 11/14/2024 |
| Certification Date | 11/14/2024 |
| Medicare PECOS PAC ID | 7911376033 |
|---|---|
| Medicare Enrollment ID | O20221213001281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366573552 | NPI | - | NPPES |
| 0423177 | Medicaid | OH | |
| 11648876 | Other | CAQH PROVIDER ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | I8483 (Ohio) | Primary |
| Provider Name | Lisa Ann Jewell Michael |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932182128 PECOS PAC ID: 0244245074 Enrollment ID: I20060215000047 |
| Provider Name | Alicia L Graham |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790976744 PECOS PAC ID: 9335287713 Enrollment ID: I20140523000596 |
| Provider Name | Melissa Y Avina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922280635 PECOS PAC ID: 0446689137 Enrollment ID: I20200331003672 |
| Provider Name | Kerry Beck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922271212 PECOS PAC ID: 7517336647 Enrollment ID: I20221213001495 |
| Provider Name | Taylor J Comer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396250932 PECOS PAC ID: 4789028952 Enrollment ID: I20240215001129 |
| Provider Name | Richard Sherman |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1467666099 PECOS PAC ID: 3476990102 Enrollment ID: I20240318001584 |
| Provider Name | Marisa Wagner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1336816271 PECOS PAC ID: 9335678010 Enrollment ID: I20250124001674 |
| Provider Name | Mandy Jerger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801377122 PECOS PAC ID: 5890224570 Enrollment ID: I20250124001707 |
| Provider Name | Michelle Kistner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1750572863 PECOS PAC ID: 7012446701 Enrollment ID: I20250124001908 |
| Provider Name | Lorenzo Mendez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083302608 PECOS PAC ID: 1052840782 Enrollment ID: I20250124003348 |
| Provider Name | Brittany Lyn Mcclarren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396472981 PECOS PAC ID: 4789113416 Enrollment ID: I20250124003363 |
| Provider Name | Brittany L Feffer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740770288 PECOS PAC ID: 6507395233 Enrollment ID: I20250124003377 |
| Provider Name | Jessica Flores |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508228958 PECOS PAC ID: 7517496177 Enrollment ID: I20250128000165 |
| Provider Name | Stefanie A Rockey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275719239 PECOS PAC ID: 4880123405 Enrollment ID: I20250128002405 |
| Provider Name | Julie Marie Sasseen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417656703 PECOS PAC ID: 6103356100 Enrollment ID: I20250205003721 |
| Provider Name | Claudia St. John |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1487182721 PECOS PAC ID: 1850821372 Enrollment ID: I20250212002096 |
| Provider Name | Katie Lynn Sprow-arend |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063680163 PECOS PAC ID: 0345212411 Enrollment ID: I20250214001247 |
Lutheran Social Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: T-792 St Rt 66, Archbold, OH 43502 Phone: 419-267-5528 Fax: 419-267-5530 | |
Caldwell Psychological Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5151 County Road 25, Archbold, OH 43502 Phone: 419-277-3569 |