| Signature Health, Inc. | |
|
5410 Transportation Blvd Unit 4 Garfield Heights OH 44125-5380 | |
| (216) 663-6100 | |
| (216) 663-7113 |
| Full Name | Signature Health, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 5410 Transportation Blvd, Garfield Heights, Ohio |
| Authorized Official Name and Position | Jonathan Albert Lee (CEO) |
| Authorized Official Contact | 4409539999 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Signature Health, Inc. 38879 Mentor Ave Suite C Willoughby OH 44094-7992 Ph: (440) 953-9999 | Signature Health, Inc. 5410 Transportation Blvd Unit 4 Garfield Heights OH 44125-5380 Ph: (216) 663-6100 |
| NPI Number | 1679767289 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 10/01/2009 |
| Medicare PECOS PAC ID | 8628970985 |
|---|---|
| Medicare Enrollment ID | O20040126000762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679767289 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 467 (Ohio) | Primary |
| Provider Name | Eduardo D Vazquez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699887943 PECOS PAC ID: 6002713179 Enrollment ID: I20031217000066 |
| Provider Name | Luis F Ramirez |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366459950 PECOS PAC ID: 4688572043 Enrollment ID: I20031222000825 |
| Provider Name | Mary C Kozina |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568869584 PECOS PAC ID: 8527969245 Enrollment ID: I20040116000000 |
| Provider Name | Sylvester I Smarty |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497841464 PECOS PAC ID: 7810881281 Enrollment ID: I20040209000683 |
| Provider Name | Douglas J Mclaughlin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1023075413 PECOS PAC ID: 9133010226 Enrollment ID: I20040330000360 |
| Provider Name | Denise A Flynn |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1144308008 PECOS PAC ID: 3476544578 Enrollment ID: I20040519000088 |
| Provider Name | David B Feldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306817440 PECOS PAC ID: 8729065875 Enrollment ID: I20040706001426 |
| Provider Name | Khoa D Tran |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427013986 PECOS PAC ID: 5799763207 Enrollment ID: I20040712000359 |
| Provider Name | Peter G Kontos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699839746 PECOS PAC ID: 6002887213 Enrollment ID: I20040803000018 |
| Provider Name | Amy Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194754796 PECOS PAC ID: 0042273781 Enrollment ID: I20041104000587 |
| Provider Name | Laurie L Mandel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417040759 PECOS PAC ID: 0840253936 Enrollment ID: I20041110001056 |
| Provider Name | Nancy Virginia Rodway |
|---|---|
| Provider Type | Practitioner - Preventive Medicine |
| Provider Identifiers | NPI Number: 1265451256 PECOS PAC ID: 4789649328 Enrollment ID: I20041123000721 |
| Provider Name | Rimvydas Augis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1376518985 PECOS PAC ID: 7214987742 Enrollment ID: I20050124000233 |
| Provider Name | Michele Marie Pirc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124045919 PECOS PAC ID: 8820037492 Enrollment ID: I20050503000573 |
| Provider Name | Noah Lybia Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083727663 PECOS PAC ID: 5799711040 Enrollment ID: I20050708000902 |
| Provider Name | Michael Joseph Primc |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992838908 PECOS PAC ID: 9830114016 Enrollment ID: I20051006000622 |
| Provider Name | Daniel B Keaton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134200868 PECOS PAC ID: 6204856206 Enrollment ID: I20051206000555 |
| Provider Name | Cheryl S Gerace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548550965 PECOS PAC ID: 1759305774 Enrollment ID: I20060117001226 |
| Provider Name | Robin Vee Krause |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1659401214 PECOS PAC ID: 2365466745 Enrollment ID: I20060125000000 |
| Provider Name | Sandra L Cook |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457467797 PECOS PAC ID: 5991710956 Enrollment ID: I20060213000143 |
| Provider Name | Caren Nowak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336158419 PECOS PAC ID: 1456360718 Enrollment ID: I20060413000487 |
| Provider Name | Richard A Zinni |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1013024793 PECOS PAC ID: 3971501123 Enrollment ID: I20061122000092 |
| Provider Name | Richelle D Shipman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043370075 PECOS PAC ID: 8729088067 Enrollment ID: I20070110000214 |
| Provider Name | Thomas J Svete |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598736332 PECOS PAC ID: 6608807979 Enrollment ID: I20070424000401 |
| Provider Name | Eric G Friess |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144338930 PECOS PAC ID: 4880794908 Enrollment ID: I20070703000003 |
| Provider Name | William P Fikter |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366468720 PECOS PAC ID: 6800985052 Enrollment ID: I20071211000395 |
| Provider Name | Nan Nelson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396816625 PECOS PAC ID: 3577653708 Enrollment ID: I20071212000196 |
| Provider Name | Ann B Sylvester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700064920 PECOS PAC ID: 2769568062 Enrollment ID: I20080327000123 |
| Provider Name | Madhuri Medarametla |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346443090 PECOS PAC ID: 4183700487 Enrollment ID: I20080327000161 |
| Provider Name | Michael Magiera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699981118 PECOS PAC ID: 8224181912 Enrollment ID: I20090728000551 |
| Provider Name | Kathleen A Christy |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1821273012 PECOS PAC ID: 5799838330 Enrollment ID: I20090730000029 |
| Provider Name | Kathryn E Varga |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477686640 PECOS PAC ID: 6709924889 Enrollment ID: I20091110000487 |
| Provider Name | Lisa R Wren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629304365 PECOS PAC ID: 9234278508 Enrollment ID: I20091125000454 |
| Provider Name | Jennifer Walter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104056373 PECOS PAC ID: 3971643925 Enrollment ID: I20091222000728 |
| Provider Name | Richard J Defranco |
|---|---|
| Provider Type | Practitioner - Addiction Medicine |
| Provider Identifiers | NPI Number: 1023213105 PECOS PAC ID: 3971643867 Enrollment ID: I20091228000526 |
| Provider Name | Tiffany C Thomas-lakia |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295948198 PECOS PAC ID: 9638209117 Enrollment ID: I20100609000726 |
| Provider Name | Timea F Turoczi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497077572 PECOS PAC ID: 4486788361 Enrollment ID: I20100813000556 |
| Provider Name | Nicole M Noscal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174836258 PECOS PAC ID: 8628102134 Enrollment ID: I20100819000881 |
| Provider Name | Jennifer E Troy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770886699 PECOS PAC ID: 8325227630 Enrollment ID: I20110119000378 |
| Provider Name | Patti A Verde |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639111669 PECOS PAC ID: 2961681101 Enrollment ID: I20110120000608 |
| Provider Name | Libbie L Stansifer |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1669686093 PECOS PAC ID: 2961684865 Enrollment ID: I20110315000035 |
| Provider Name | Deborah L Gurney |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891828703 PECOS PAC ID: 9638353543 Enrollment ID: I20110418000210 |
| Provider Name | Eric J Main |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689770265 PECOS PAC ID: 3577527167 Enrollment ID: I20110429000601 |
| Provider Name | Tiffany S Jones |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003082413 PECOS PAC ID: 2466625181 Enrollment ID: I20111025000507 |
| Provider Name | Susan M Whittaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699803692 PECOS PAC ID: 6103099841 Enrollment ID: I20111025000785 |
| Provider Name | Roger J Mize |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962615518 PECOS PAC ID: 8022276708 Enrollment ID: I20120227000598 |
| Provider Name | Kathleen S Bobulsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881739159 PECOS PAC ID: 5294995502 Enrollment ID: I20120323000360 |
| Provider Name | Dawn C Brumfield |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437289774 PECOS PAC ID: 6507026408 Enrollment ID: I20120330000358 |
| Provider Name | Teresa Beverly Griffin |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386669653 PECOS PAC ID: 3375530694 Enrollment ID: I20120725000876 |
| Provider Name | Valerie L Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013263516 PECOS PAC ID: 6901055169 Enrollment ID: I20121003000148 |
| Provider Name | Julie M Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477803419 PECOS PAC ID: 1557512266 Enrollment ID: I20121106000188 |
| Provider Name | Gretchen K Gardner |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265653703 PECOS PAC ID: 2860643533 Enrollment ID: I20121107000171 |
| Provider Name | Jenna L Crockett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225374879 PECOS PAC ID: 6800034513 Enrollment ID: I20130607000068 |
| Provider Name | Jennifer R Dugan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548609985 PECOS PAC ID: 4688815590 Enrollment ID: I20130718000389 |
| Provider Name | Rachael N Mclaughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578905592 PECOS PAC ID: 1557505682 Enrollment ID: I20130911000586 |
| Provider Name | Sheridan L Vecchio |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295900710 PECOS PAC ID: 1850529322 Enrollment ID: I20140107000801 |
| Provider Name | Elizabeth H Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356636914 PECOS PAC ID: 6901038371 Enrollment ID: I20140417001001 |
| Provider Name | Lindsey J Kershaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396168449 PECOS PAC ID: 9931331253 Enrollment ID: I20140418000641 |
| Provider Name | Todd E Wagner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1063674299 PECOS PAC ID: 5092938928 Enrollment ID: I20140522001190 |
| Provider Name | Belinda R Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497841035 PECOS PAC ID: 3072736909 Enrollment ID: I20140522001255 |
| Provider Name | Sarah Hoehnen |
|---|---|
| Provider Type | Practitioner - Infectious Disease |
| Provider Identifiers | NPI Number: 1316189517 PECOS PAC ID: 4789809195 Enrollment ID: I20140626002616 |
| Provider Name | Jasdeep K Sohi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588857908 PECOS PAC ID: 1355567520 Enrollment ID: I20140723002516 |
| Provider Name | Siddharth S Arora |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1386910172 PECOS PAC ID: 0547487324 Enrollment ID: I20140819001841 |
| Provider Name | Tyffani M Monford Dent |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427377399 PECOS PAC ID: 9436377447 Enrollment ID: I20140903001738 |
| Provider Name | Shari L Chavis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043628399 PECOS PAC ID: 7517186364 Enrollment ID: I20140910001194 |
| Provider Name | Michelle M Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992018303 PECOS PAC ID: 8527289230 Enrollment ID: I20141022001219 |
| Provider Name | Maria-cristina Canella |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427463272 PECOS PAC ID: 8628392909 Enrollment ID: I20150114001264 |
| Provider Name | Bernadette M Pronty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124416383 PECOS PAC ID: 5799001434 Enrollment ID: I20150224001160 |
| Provider Name | Season R Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598064727 PECOS PAC ID: 1759600786 Enrollment ID: I20150424001067 |
| Provider Name | Rachelle M Spitz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952704447 PECOS PAC ID: 0042531691 Enrollment ID: I20150608001354 |
| Provider Name | Esther B Gotfryd |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508245218 PECOS PAC ID: 5092023093 Enrollment ID: I20150924000824 |
| Provider Name | Winnie Yip |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134503493 PECOS PAC ID: 0547561896 Enrollment ID: I20151210002733 |
| Provider Name | Allyson E Mcclain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871972109 PECOS PAC ID: 4587965777 Enrollment ID: I20151211001935 |
| Provider Name | Donna J Colucci |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316316003 PECOS PAC ID: 4486955234 Enrollment ID: I20151221000728 |
| Provider Name | Anna K Whitmer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215365259 PECOS PAC ID: 0547498792 Enrollment ID: I20160107001635 |
| Provider Name | Michele Mcclure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770940983 PECOS PAC ID: 8820393176 Enrollment ID: I20160224000834 |
| Provider Name | Morrondo Edwards-roberts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023478609 PECOS PAC ID: 2264722925 Enrollment ID: I20160608001434 |
| Provider Name | Kenneth J Holt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174974117 PECOS PAC ID: 7113213778 Enrollment ID: I20160907002264 |
| Provider Name | Kristen L Colella |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720534506 PECOS PAC ID: 8527356534 Enrollment ID: I20161006001770 |
| Provider Name | Brittany Roppel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972056505 PECOS PAC ID: 0840578803 Enrollment ID: I20161025002883 |
| Provider Name | Julia A Bissett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730421322 PECOS PAC ID: 3779862008 Enrollment ID: I20161109001791 |
| Provider Name | Robin Caldwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487106787 PECOS PAC ID: 6608156062 Enrollment ID: I20161201001158 |
| Provider Name | Priya Vaidya Shrestha |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407141559 PECOS PAC ID: 5395971014 Enrollment ID: I20161214001234 |
| Provider Name | Allison M Mora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790220077 PECOS PAC ID: 8123301538 Enrollment ID: I20170209001008 |
| Provider Name | Jane Lewis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083908719 PECOS PAC ID: 4486937760 Enrollment ID: I20170210001813 |
| Provider Name | Christine Lalich |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528405479 PECOS PAC ID: 5294010641 Enrollment ID: I20170327001145 |
| Provider Name | Vaquet A Shomo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124226865 PECOS PAC ID: 9032486493 Enrollment ID: I20170606002586 |
| Provider Name | Lesley Dials |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417197302 PECOS PAC ID: 0143599316 Enrollment ID: I20170630001654 |
| Provider Name | Meghan E Zielinski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457873176 PECOS PAC ID: 7618249962 Enrollment ID: I20170821002469 |
| Provider Name | Mary K Winfield |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497156665 PECOS PAC ID: 4082986377 Enrollment ID: I20170822000886 |
| Provider Name | Cathleen M Mclaughlin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154724060 PECOS PAC ID: 7315210523 Enrollment ID: I20170911002165 |
| Provider Name | Phillip Ajlouny |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972946903 PECOS PAC ID: 6507166568 Enrollment ID: I20180416002285 |
| Provider Name | Rachel Marie Madden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043710296 PECOS PAC ID: 3173886488 Enrollment ID: I20180420000307 |
| Provider Name | Donna M Sheahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104343631 PECOS PAC ID: 3476818618 Enrollment ID: I20180517001870 |
| Provider Name | Jenny L Lemmer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801222666 PECOS PAC ID: 8729334917 Enrollment ID: I20180629002294 |
| Provider Name | Danielle Mutter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841770484 PECOS PAC ID: 0547511099 Enrollment ID: I20180921000923 |
| Provider Name | Vanessa Stagliano |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477931319 PECOS PAC ID: 0446561583 Enrollment ID: I20181105000960 |
| Provider Name | Mary Wills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497203053 PECOS PAC ID: 3072867167 Enrollment ID: I20181107003229 |
| Provider Name | Kristin Renee Wenum |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336617901 PECOS PAC ID: 2365787991 Enrollment ID: I20181228002182 |
| Provider Name | Stacy M Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386187342 PECOS PAC ID: 4385980788 Enrollment ID: I20190107000271 |
| Provider Name | Kelly Scott |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013420801 PECOS PAC ID: 0446518211 Enrollment ID: I20190111002004 |
| Provider Name | Jamie Dials |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528571528 PECOS PAC ID: 1254677248 Enrollment ID: I20190111002251 |
| Provider Name | Nathaniel Albrecht |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467853705 PECOS PAC ID: 6406136811 Enrollment ID: I20190219002192 |
| Provider Name | Adam S Gerdes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821503145 PECOS PAC ID: 7315286846 Enrollment ID: I20190228000737 |
| Provider Name | Elizabeth D Hagen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407314339 PECOS PAC ID: 8628319597 Enrollment ID: I20190403002082 |
| Provider Name | Candice Pollard-reed |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205378346 PECOS PAC ID: 8921334616 Enrollment ID: I20190802000787 |
| Provider Name | Kelly Walsh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265989909 PECOS PAC ID: 4082941216 Enrollment ID: I20190812001911 |
| Provider Name | Shannon M Easter Kelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871806968 PECOS PAC ID: 6800123936 Enrollment ID: I20190812001937 |
| Provider Name | Melanie Prepetit |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891003588 PECOS PAC ID: 8921336686 Enrollment ID: I20190820002330 |
| Provider Name | Catherine L Lazar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023523883 PECOS PAC ID: 0749518405 Enrollment ID: I20190820002354 |
| Provider Name | Cassandra Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679021265 PECOS PAC ID: 6204166028 Enrollment ID: I20190920002726 |
| Provider Name | Kaitlyn Samantha Baker-wlodyka |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750894721 PECOS PAC ID: 9537490149 Enrollment ID: I20191014000913 |
| Provider Name | Ramona Mahesh Bhatt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376075085 PECOS PAC ID: 8123390846 Enrollment ID: I20191113001533 |
| Provider Name | Leighanna Kathyrn Stephenson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053801589 PECOS PAC ID: 5294168613 Enrollment ID: I20191125002465 |
| Provider Name | Andrew Paul Winchester |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982032074 PECOS PAC ID: 3577990456 Enrollment ID: I20200305002792 |
| Provider Name | Mary Singer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689169781 PECOS PAC ID: 4981033214 Enrollment ID: I20200407002009 |
| Provider Name | Aleesha Milliman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285147298 PECOS PAC ID: 3274963228 Enrollment ID: I20200415002648 |
| Provider Name | Eileen Zehe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235688375 PECOS PAC ID: 7113357906 Enrollment ID: I20200418000138 |
| Provider Name | Kelly K. Hurst |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1356971824 PECOS PAC ID: 6709216369 Enrollment ID: I20200422000924 |
| Provider Name | Michael Huston |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750803565 PECOS PAC ID: 2769803428 Enrollment ID: I20200604001418 |
| Provider Name | Laura Skufca |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285255646 PECOS PAC ID: 2264854934 Enrollment ID: I20200625001759 |
| Provider Name | Kristen M Shaughnessy |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1700499829 PECOS PAC ID: 9739509639 Enrollment ID: I20201014003034 |
| Provider Name | John Kozelj |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134735780 PECOS PAC ID: 3375963184 Enrollment ID: I20201016001076 |
| Provider Name | Emily Mikhail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154861268 PECOS PAC ID: 8123439239 Enrollment ID: I20201120002092 |
| Provider Name | Audra Blood |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992299036 PECOS PAC ID: 4385056274 Enrollment ID: I20201217002104 |
| Provider Name | Latundra Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326599663 PECOS PAC ID: 0143632893 Enrollment ID: I20201222001003 |
| Provider Name | Kaitlyn E Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1205423399 PECOS PAC ID: 3375956360 Enrollment ID: I20210121001948 |
| Provider Name | Gary Baker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164905709 PECOS PAC ID: 1052653599 Enrollment ID: I20210218000940 |
| Provider Name | Adam C Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720691942 PECOS PAC ID: 4183039134 Enrollment ID: I20210224002725 |
| Provider Name | Talley O'connor Mcmonagle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356915466 PECOS PAC ID: 5991104465 Enrollment ID: I20210603001615 |
| Provider Name | Amanda Elizabeth Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992352553 PECOS PAC ID: 1658773908 Enrollment ID: I20210709001144 |
| Provider Name | Jazmine Renay Danner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245769421 PECOS PAC ID: 0244632412 Enrollment ID: I20210709002093 |
| Provider Name | Brittany Delasos |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1356879266 PECOS PAC ID: 5991137259 Enrollment ID: I20210713003713 |
| Provider Name | Shayna Jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861906638 PECOS PAC ID: 4183026057 Enrollment ID: I20210714003258 |
| Provider Name | Stephanie Paige Gabrielle Barth |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417522905 PECOS PAC ID: 8921401936 Enrollment ID: I20210728003919 |
| Provider Name | Nicole M Genske |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346812583 PECOS PAC ID: 9537563879 Enrollment ID: I20210809000566 |
| Provider Name | Rajalla Prewitt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1770644064 PECOS PAC ID: 1850448440 Enrollment ID: I20210812003218 |
| Provider Name | Carol Ka-lap Chan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033573308 PECOS PAC ID: 9436409281 Enrollment ID: I20210816003881 |
| Provider Name | Sharon L. Chaffee |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528562873 PECOS PAC ID: 0749605707 Enrollment ID: I20210820003165 |
| Provider Name | Kimberly A Reinke |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215602446 PECOS PAC ID: 1355747833 Enrollment ID: I20210908003380 |
| Provider Name | Duncan Charles Simpson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346734456 PECOS PAC ID: 6002213667 Enrollment ID: I20210923002532 |
| Provider Name | Audra Kirchmeir |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376212720 PECOS PAC ID: 5294133047 Enrollment ID: I20211007002943 |
| Provider Name | Katy Pirozhkov |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235803719 PECOS PAC ID: 6709284565 Enrollment ID: I20211007003162 |
| Provider Name | Erin Gayle Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124511779 PECOS PAC ID: 3072901115 Enrollment ID: I20211022001372 |
| Provider Name | Suzanne M Sarris-orlando |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639847288 PECOS PAC ID: 0244629327 Enrollment ID: I20211110002715 |
| Provider Name | Jennifer E Vittek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043723075 PECOS PAC ID: 9931599883 Enrollment ID: I20211208000771 |
| Provider Name | Tiffany Joyce |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982082095 PECOS PAC ID: 0345631297 Enrollment ID: I20220103001405 |
| Provider Name | Georgia Zinsser Saltzman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689112112 PECOS PAC ID: 1557756590 Enrollment ID: I20220309003077 |
| Provider Name | Jennie C Kozlik |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902558059 PECOS PAC ID: 0749676336 Enrollment ID: I20220407001215 |
| Provider Name | David Stabler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003562604 PECOS PAC ID: 8820485352 Enrollment ID: I20220430000251 |
| Provider Name | Sergey Ostrovskiy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174022982 PECOS PAC ID: 1951788819 Enrollment ID: I20220513001958 |
| Provider Name | Conor D. Monaghan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497327571 PECOS PAC ID: 2567840739 Enrollment ID: I20220531000461 |
| Provider Name | Stephanie Braun |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972998201 PECOS PAC ID: 0840679064 Enrollment ID: I20220617002595 |
| Provider Name | Merissa Ann Durda |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598300352 PECOS PAC ID: 7012392921 Enrollment ID: I20220913002901 |
| Provider Name | Diana Patricia Sabagh Sabagh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679891204 PECOS PAC ID: 1254627672 Enrollment ID: I20220916003288 |
| Provider Name | Cynthia Schartman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093214652 PECOS PAC ID: 0143606590 Enrollment ID: I20221007002282 |
| Provider Name | Sarah Maame Boaitey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1457910424 PECOS PAC ID: 7517337363 Enrollment ID: I20230112000893 |
| Provider Name | Laura Siciliano |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881394005 PECOS PAC ID: 3971969973 Enrollment ID: I20230517002382 |
| Provider Name | Mykia Sa'lita Hickman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730488313 PECOS PAC ID: 7911363866 Enrollment ID: I20230518001340 |
| Provider Name | Michael Luzar |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396226569 PECOS PAC ID: 9133586522 Enrollment ID: I20230530002116 |
| Provider Name | Brandy Marie Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770037343 PECOS PAC ID: 3577921865 Enrollment ID: I20230619001217 |
| Provider Name | Matthew Dietz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043712862 PECOS PAC ID: 0143689315 Enrollment ID: I20230706001312 |
| Provider Name | Hannah Linville |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053818377 PECOS PAC ID: 1355701707 Enrollment ID: I20230717001339 |
| Provider Name | Steven Adams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528459955 PECOS PAC ID: 3274994181 Enrollment ID: I20230725001653 |
| Provider Name | Julie Shendel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053045039 PECOS PAC ID: 8123489630 Enrollment ID: I20230801000369 |
| Provider Name | Melissa Weber |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053074344 PECOS PAC ID: 1254793599 Enrollment ID: I20230817002329 |
| Provider Name | Sara Marie Pressley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679186605 PECOS PAC ID: 9234592866 Enrollment ID: I20230830002459 |
| Provider Name | Crystal Henley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841858974 PECOS PAC ID: 3072976596 Enrollment ID: I20230831002012 |
| Provider Name | Kelsey Rhoades |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306525597 PECOS PAC ID: 6103289434 Enrollment ID: I20230901003450 |
| Provider Name | Rachel Bonilla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679086763 PECOS PAC ID: 1052774353 Enrollment ID: I20230905002030 |
| Provider Name | Emily Adkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780371161 PECOS PAC ID: 6901260785 Enrollment ID: I20230912003192 |
| Provider Name | Michelle Young |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326727512 PECOS PAC ID: 5496102667 Enrollment ID: I20231109000576 |
| Provider Name | Janice Buildt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346925617 PECOS PAC ID: 9537516679 Enrollment ID: I20231109003587 |
| Provider Name | Eryn Vinci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396259164 PECOS PAC ID: 8123475910 Enrollment ID: I20231116000929 |
| Provider Name | Nicole Leanne Skufca |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407338015 PECOS PAC ID: 5698123628 Enrollment ID: I20231130002591 |
| Provider Name | Kelly A Mcbride |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295242360 PECOS PAC ID: 1759731391 Enrollment ID: I20231222002005 |
| Provider Name | Evyn Karlosky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053712257 PECOS PAC ID: 2961852314 Enrollment ID: I20231227001092 |
| Provider Name | Jessica Sinur |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1275960791 PECOS PAC ID: 1456708692 Enrollment ID: I20231227002416 |
| Provider Name | Maria Rodriguez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952816308 PECOS PAC ID: 8123478534 Enrollment ID: I20231227003220 |
| Provider Name | Gina Marafiote |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457844847 PECOS PAC ID: 2769832179 Enrollment ID: I20231227003229 |
| Provider Name | Nicole Rose Monyak |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871107250 PECOS PAC ID: 6305296716 Enrollment ID: I20231227003235 |
| Provider Name | Theresa Gill |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003420076 PECOS PAC ID: 6507216843 Enrollment ID: I20231228001308 |
| Provider Name | Alicia Marie Mccarthy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255954285 PECOS PAC ID: 0446600738 Enrollment ID: I20231228003256 |
| Provider Name | Alexandria Dahlhausen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881184299 PECOS PAC ID: 3173973476 Enrollment ID: I20231228003658 |
| Provider Name | Larissa Clare Minch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780826164 PECOS PAC ID: 1254781552 Enrollment ID: I20231228003690 |
| Provider Name | Amy M Zuren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1053718262 PECOS PAC ID: 3779933957 Enrollment ID: I20231229002501 |
| Provider Name | Michael F Szabo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699202002 PECOS PAC ID: 9830549971 Enrollment ID: I20240102001370 |
| Provider Name | Abigail Gaunt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649626086 PECOS PAC ID: 7517317654 Enrollment ID: I20240102001485 |
| Provider Name | Samantha Mccoy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801458682 PECOS PAC ID: 4082064134 Enrollment ID: I20240102001812 |
| Provider Name | Howard Edward Loftus |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598294886 PECOS PAC ID: 6507216652 Enrollment ID: I20240102001923 |
| Provider Name | Marla Shawi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205434859 PECOS PAC ID: 9133579212 Enrollment ID: I20240102002791 |
| Provider Name | Laure A. Ferrante |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144402181 PECOS PAC ID: 3577913672 Enrollment ID: I20240102003600 |
| Provider Name | Patricia Russell-oliver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205384641 PECOS PAC ID: 6901256007 Enrollment ID: I20240102003701 |
| Provider Name | Christin Lynn Carrabine |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457429656 PECOS PAC ID: 5294185203 Enrollment ID: I20240103000226 |
| Provider Name | Elizabeth Hackman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366869950 PECOS PAC ID: 2567812589 Enrollment ID: I20240103000605 |
| Provider Name | Jeffrey S Reech |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255093944 PECOS PAC ID: 6800246836 Enrollment ID: I20240103000785 |
| Provider Name | Terese Ann Notte |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669507075 PECOS PAC ID: 0840640884 Enrollment ID: I20240103001049 |
| Provider Name | Emilee Ciolli |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710478664 PECOS PAC ID: 0941650998 Enrollment ID: I20240103001406 |
| Provider Name | Briana Jean Russ |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1639682651 PECOS PAC ID: 3274983226 Enrollment ID: I20240103001561 |
| Provider Name | Brian John Bruening |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407488232 PECOS PAC ID: 0941650915 Enrollment ID: I20240103002319 |
| Provider Name | Lakendra Mashell Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164864666 PECOS PAC ID: 1557711520 Enrollment ID: I20240103002403 |
| Provider Name | Candace Searles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700336740 PECOS PAC ID: 5890145866 Enrollment ID: I20240103002504 |
| Provider Name | Lisa Reed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578017935 PECOS PAC ID: 2961852942 Enrollment ID: I20240103002604 |
| Provider Name | Julie Adamek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962950501 PECOS PAC ID: 4183074164 Enrollment ID: I20240103002823 |
| Provider Name | Matthew Geraldi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1346754991 PECOS PAC ID: 4385094374 Enrollment ID: I20240103003149 |
| Provider Name | Tracey Denise Filipasic |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881983344 PECOS PAC ID: 5890146880 Enrollment ID: I20240103003350 |
| Provider Name | Brian P. Heinz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760624316 PECOS PAC ID: 4385095389 Enrollment ID: I20240103003849 |
| Provider Name | Angela M Sanford |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952995706 PECOS PAC ID: 7113378134 Enrollment ID: I20240103004670 |
| Provider Name | Amanda E. Collins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679874200 PECOS PAC ID: 0244681286 Enrollment ID: I20240104000299 |
| Provider Name | Kirstin A Esch |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740386531 PECOS PAC ID: 1759732704 Enrollment ID: I20240104000448 |
| Provider Name | Victoria Louise-evans Pribble |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679921464 PECOS PAC ID: 2668823584 Enrollment ID: I20240104003182 |
| Provider Name | Alexandra Jean Schenck |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619468915 PECOS PAC ID: 8022469956 Enrollment ID: I20240104003635 |
| Provider Name | Rachel A Conn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841561222 PECOS PAC ID: 1153772082 Enrollment ID: I20240104003866 |
| Provider Name | Telisa Cross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780091579 PECOS PAC ID: 8820449770 Enrollment ID: I20240104004535 |
| Provider Name | Scott Michael Zirneskie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578033502 PECOS PAC ID: 4183075039 Enrollment ID: I20240104004578 |
| Provider Name | Alexandra Theresa Dalheim |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508255829 PECOS PAC ID: 3577914308 Enrollment ID: I20240105002686 |
| Provider Name | Sharon Bollinger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043726763 PECOS PAC ID: 1153772983 Enrollment ID: I20240105002841 |
| Provider Name | Javonna L Crook |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538730122 PECOS PAC ID: 4587015342 Enrollment ID: I20240105003768 |
| Provider Name | Lisa Marsh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1780153320 PECOS PAC ID: 0143671891 Enrollment ID: I20240108003666 |
| Provider Name | Ronald Jon Seigman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215182845 PECOS PAC ID: 2567813215 Enrollment ID: I20240108003818 |
| Provider Name | Michael S Rodio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366687972 PECOS PAC ID: 8224489877 Enrollment ID: I20240108004071 |
| Provider Name | Kelly S Christy |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265562839 PECOS PAC ID: 9032560602 Enrollment ID: I20240108004870 |
| Provider Name | Bethany Vanderhorst |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508379579 PECOS PAC ID: 5597116129 Enrollment ID: I20240109000699 |
| Provider Name | Tiara Fulton |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699286674 PECOS PAC ID: 7113378753 Enrollment ID: I20240109001122 |
| Provider Name | James Tony Workman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861538829 PECOS PAC ID: 1951752401 Enrollment ID: I20240109001808 |
| Provider Name | Anthony Graham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730629445 PECOS PAC ID: 5092166553 Enrollment ID: I20240109002041 |
| Provider Name | Lynelle Sue Winkler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578778494 PECOS PAC ID: 8426409996 Enrollment ID: I20240109002499 |
| Provider Name | Treacha Slattman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134558018 PECOS PAC ID: 7810348109 Enrollment ID: I20240111001197 |
| Provider Name | Christina Marie Shaw |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972950087 PECOS PAC ID: 8224489323 Enrollment ID: I20240112000803 |
| Provider Name | Gregory Southard |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588183453 PECOS PAC ID: 0244681369 Enrollment ID: I20240112001455 |
| Provider Name | Kimberly Bauer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295234417 PECOS PAC ID: 9133570252 Enrollment ID: I20240112001513 |
| Provider Name | Kali Elizabeth Dehn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821503467 PECOS PAC ID: 9739530817 Enrollment ID: I20240112003513 |
| Provider Name | Dianne Rafferty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861474892 PECOS PAC ID: 0446578025 Enrollment ID: I20240113000354 |
| Provider Name | Brooke Strumbel |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467959007 PECOS PAC ID: 6204288210 Enrollment ID: I20240116000839 |
| Provider Name | Carla Michelle Fortney |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912415357 PECOS PAC ID: 9931551900 Enrollment ID: I20240116002576 |
| Provider Name | Valerie Turner-harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1629528187 PECOS PAC ID: 4880054618 Enrollment ID: I20240116002779 |
| Provider Name | Deanna Leigh Schaeffer |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669938122 PECOS PAC ID: 4385096247 Enrollment ID: I20240117001201 |
| Provider Name | Ashley B Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528577236 PECOS PAC ID: 7618329822 Enrollment ID: I20240123002751 |
| Provider Name | Amanda Irene Balzano |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396325742 PECOS PAC ID: 0446602601 Enrollment ID: I20240123004683 |
| Provider Name | Riva Miriam Weinstock |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528615283 PECOS PAC ID: 7618329871 Enrollment ID: I20240123004717 |
| Provider Name | Stephen Joseph Macek |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811552888 PECOS PAC ID: 8325490584 Enrollment ID: I20240123004783 |
| Provider Name | Kaleigh Ann Trowbridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1881209070 PECOS PAC ID: 3476905654 Enrollment ID: I20240124000302 |
| Provider Name | Gina Horvat |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285116921 PECOS PAC ID: 0042663866 Enrollment ID: I20240129002132 |
| Provider Name | Theresa Marie Davies |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073388096 PECOS PAC ID: 6002269537 Enrollment ID: I20240131002298 |
| Provider Name | Yannette M Barnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841706801 PECOS PAC ID: 3971946252 Enrollment ID: I20240205001012 |
| Provider Name | Amy Lamantia |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1700399730 PECOS PAC ID: 7618310848 Enrollment ID: I20240205003197 |
| Provider Name | Nicole Edgell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508357286 PECOS PAC ID: 7618310723 Enrollment ID: I20240206001734 |
| Provider Name | David Lee Rudler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528052743 PECOS PAC ID: 0840267225 Enrollment ID: I20240206001944 |
| Provider Name | Nichole Falcone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851948616 PECOS PAC ID: 0749623890 Enrollment ID: I20240206003186 |
| Provider Name | William Zaffiro |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457867384 PECOS PAC ID: 9133562192 Enrollment ID: I20240206003821 |
| Provider Name | Amanda French |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467850594 PECOS PAC ID: 2860836087 Enrollment ID: I20240215003084 |
| Provider Name | Evon Diane Paratore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457028268 PECOS PAC ID: 5193169084 Enrollment ID: I20240219003664 |
| Provider Name | Stephanie Henderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639678857 PECOS PAC ID: 9830533371 Enrollment ID: I20240222003805 |
| Provider Name | Taylor Min Wan Yong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588261648 PECOS PAC ID: 9739523275 Enrollment ID: I20240222003856 |
| Provider Name | Rebecca Rayner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760004741 PECOS PAC ID: 8729423256 Enrollment ID: I20240223003099 |
| Provider Name | Colleen Maloney Garlock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720594708 PECOS PAC ID: 6507201050 Enrollment ID: I20240223003961 |
| Provider Name | Paige Robertson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548789449 PECOS PAC ID: 1658749742 Enrollment ID: I20240226003421 |
| Provider Name | Melissa Berkebile |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144712670 PECOS PAC ID: 4082059142 Enrollment ID: I20240228001879 |
| Provider Name | Daniel Edwin Molnar |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1265833719 PECOS PAC ID: 9638514573 Enrollment ID: I20240229004015 |
| Provider Name | Kathleen Marie Allen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922405331 PECOS PAC ID: 3971949827 Enrollment ID: I20240313003335 |
| Provider Name | Lauren Juarez |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1912248410 PECOS PAC ID: 5092151845 Enrollment ID: I20240314002979 |
| Provider Name | Andrea Mcmuldren |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326551334 PECOS PAC ID: 5294171054 Enrollment ID: I20240314003305 |
| Provider Name | Hannah Oberle Tradowsky |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1508379520 PECOS PAC ID: 6901242767 Enrollment ID: I20240314003369 |
| Provider Name | Tiera Cross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457870941 PECOS PAC ID: 5890131650 Enrollment ID: I20240314003442 |
| Provider Name | Danielle M Mandato |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164780300 PECOS PAC ID: 0840637211 Enrollment ID: I20240320003404 |
| Provider Name | Dominique Latrice Harwell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1427567924 PECOS PAC ID: 2961849831 Enrollment ID: I20240327002495 |
| Provider Name | Amelia Renee Serio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790284826 PECOS PAC ID: 4284072828 Enrollment ID: I20240402002953 |
| Provider Name | Megan Branstein |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366912842 PECOS PAC ID: 5092153387 Enrollment ID: I20240405000592 |
| Provider Name | Linda Kraska |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912629858 PECOS PAC ID: 9638517857 Enrollment ID: I20240409000267 |
| Provider Name | Fatimaah D Brown-fullilove |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003329228 PECOS PAC ID: 2365881042 Enrollment ID: I20240415000302 |
| Provider Name | Traci Demattia-toth |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1184174922 PECOS PAC ID: 8921447392 Enrollment ID: I20240417003950 |
| Provider Name | Natalie Dinero |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073027504 PECOS PAC ID: 9931548120 Enrollment ID: I20240422000223 |
| Provider Name | Saba Khalid |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043725054 PECOS PAC ID: 3870933757 Enrollment ID: I20240425000814 |
| Provider Name | Lauren M Prokop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497054076 PECOS PAC ID: 0840631875 Enrollment ID: I20240508002478 |
| Provider Name | Paige Tuma |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437621760 PECOS PAC ID: 3577904044 Enrollment ID: I20240515000941 |
| Provider Name | Denise Seyranian |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1962966028 PECOS PAC ID: 4082055256 Enrollment ID: I20240520000331 |
| Provider Name | Jesse M Crowder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417458134 PECOS PAC ID: 9931541133 Enrollment ID: I20240520001957 |
| Provider Name | Mariah T'keyah Ambler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487168928 PECOS PAC ID: 4284076423 Enrollment ID: I20240520003403 |
| Provider Name | Rozalyn Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427557727 PECOS PAC ID: 5597107409 Enrollment ID: I20240523002182 |
| Provider Name | Jessica Fisher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881188118 PECOS PAC ID: 2769824697 Enrollment ID: I20240523002639 |
| Provider Name | Janna Reilly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679069371 PECOS PAC ID: 9234581349 Enrollment ID: I20240618001617 |
| Provider Name | Tiffani Danielle Fields |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033777446 PECOS PAC ID: 7012450075 Enrollment ID: I20240618003176 |
| Provider Name | Bryan Strawbridge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1295304533 PECOS PAC ID: 2062957483 Enrollment ID: I20240710002178 |
| Provider Name | Taylor Cathleen Metz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992302780 PECOS PAC ID: 5799222378 Enrollment ID: I20240731002908 |
| Provider Name | Carmen T Gomez-jeffrey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194024844 PECOS PAC ID: 5092253682 Enrollment ID: I20240814001143 |
| Provider Name | Crystal Gerson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780198556 PECOS PAC ID: 4284172446 Enrollment ID: I20240819003226 |
| Provider Name | Koralys Carrucini |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447722418 PECOS PAC ID: 8921546029 Enrollment ID: I20240821000341 |
| Provider Name | Julia Robinson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134899289 PECOS PAC ID: 6507304532 Enrollment ID: I20240821001814 |
| Provider Name | William Patrick Smith |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255503678 PECOS PAC ID: 9133667116 Enrollment ID: I20240821003778 |
| Provider Name | Katie Nicole Santora |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922514561 PECOS PAC ID: 3476093949 Enrollment ID: I20240911000685 |
| Provider Name | Taylor Dotson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609423698 PECOS PAC ID: 8123568383 Enrollment ID: I20240913003184 |
| Provider Name | Robert Kollar |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023854833 PECOS PAC ID: 9234661877 Enrollment ID: I20241021001576 |
| Provider Name | Vanessa Buchanan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639846264 PECOS PAC ID: 2163954728 Enrollment ID: I20241021002459 |
| Provider Name | Alyssa Carothers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023745254 PECOS PAC ID: 6204368731 Enrollment ID: I20241022001947 |
| Provider Name | Jessica H Cheng |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962017095 PECOS PAC ID: 9335672062 Enrollment ID: I20241101001633 |
| Provider Name | Alexandra May Kelly |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1013532472 PECOS PAC ID: 2163956699 Enrollment ID: I20241106003475 |
| Provider Name | Lauryn Weppelman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326880188 PECOS PAC ID: 7012442437 Enrollment ID: I20241121004707 |
| Provider Name | Heather Luna Farkas |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538891072 PECOS PAC ID: 4789119074 Enrollment ID: I20241122003540 |
| Provider Name | Dawn Ostrowski |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1063815512 PECOS PAC ID: 0244766707 Enrollment ID: I20241206001254 |
| Provider Name | Meghan Ayers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104391838 PECOS PAC ID: 2860928249 Enrollment ID: I20241209002604 |
| Provider Name | Isabella Slusarski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629637053 PECOS PAC ID: 0648706853 Enrollment ID: I20241211003540 |
| Provider Name | Anthony Patrick Genovese |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487268801 PECOS PAC ID: 2668908724 Enrollment ID: I20241212000988 |
| Provider Name | Pauline Katherine Glass |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699281550 PECOS PAC ID: 7416484647 Enrollment ID: I20241230000053 |
| Provider Name | Jessica R Gordon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265926125 PECOS PAC ID: 5799212759 Enrollment ID: I20250102003203 |
| Provider Name | Taylor Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528781788 PECOS PAC ID: 1951839521 Enrollment ID: I20250109002759 |
| Provider Name | Autumn Vinciquerra |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1841640984 PECOS PAC ID: 9537697909 Enrollment ID: I20250113002506 |
| Provider Name | Daisy B Dillon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1861826406 PECOS PAC ID: 0143458976 Enrollment ID: I20250115001758 |
| Provider Name | Daisy B Dillon |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1659989887 PECOS PAC ID: 5092244962 Enrollment ID: I20250122000526 |
| Provider Name | Patrick Corcoran St. Pierre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073275954 PECOS PAC ID: 3870015910 Enrollment ID: I20250319000357 |
| Provider Name | Catherine Cook |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083194492 PECOS PAC ID: 7012430507 Enrollment ID: I20250325002998 |
| Provider Name | Karla Josmara Mendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699293126 PECOS PAC ID: 8921521287 Enrollment ID: I20250327000332 |
| Provider Name | Kathleen Kennedy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841658358 PECOS PAC ID: 2466975727 Enrollment ID: I20250327000401 |
| Provider Name | Maureen Tuley |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952010324 PECOS PAC ID: 7214450501 Enrollment ID: I20250327001369 |
| Provider Name | John Gregor Holzheimer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124572987 PECOS PAC ID: 4587187638 Enrollment ID: I20250328002547 |
| Provider Name | Katherine Schacterle |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013621903 PECOS PAC ID: 1850814971 Enrollment ID: I20250331000914 |
| Provider Name | Grace Connolly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477264620 PECOS PAC ID: 7911420625 Enrollment ID: I20250402002808 |
| Provider Name | Diamante Polito |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124789193 PECOS PAC ID: 4880117530 Enrollment ID: I20250403000199 |
| Provider Name | Sarah Osvath |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073229878 PECOS PAC ID: 2466976170 Enrollment ID: I20250403001697 |
| Provider Name | Eric A Weed |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1467057570 PECOS PAC ID: 3072037035 Enrollment ID: I20250411000474 |
| Provider Name | Tae'lor Ann Windham |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790284396 PECOS PAC ID: 3274042700 Enrollment ID: I20250604003689 |
| Provider Name | Nicole Pratt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013674126 PECOS PAC ID: 8527579937 Enrollment ID: I20250613000309 |
Beech Brook Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13201 Granger Rd Ste 8, Garfield Heights, OH 44125 Phone: 216-831-2255 Fax: 216-831-0436 | |
Catalyst Behavioral Health Services Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6074 Turney Rd, Garfield Heights, OH 44125 Phone: 216-810-8058 | |
Arise Counseling & Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5706 Turney Rd, Suite 205, Garfield Heights, OH 44125 Phone: 216-820-1180 | |
Perfectly Transported Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13707 Cranwood Dr, Garfield Heights, OH 44105 Phone: 216-313-1755 | |
Med Management Indiana Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5300 Marymount Village Dr, Garfield Heights, OH 44125 Phone: 888-365-6271 | |
Advanced Neurology & Emg, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 12000 Mccracken Rd, Suite 357, Garfield Heights, OH 44125 Phone: 216-332-0920 Fax: 216-332-0950 | |
Arise Counseling & Consulting Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5706 Turney Rd Ste 205, Garfield Heights, OH 44125 Phone: 216-820-1180 |