| Community Mental Health Centers Of Warren County, Inc | |
|
975 Kingsview Dr Lebanon OH 45036-9562 | |
| (513) 228-7800 | |
| (513) 228-7846 |
| Full Name | Community Mental Health Centers Of Warren County, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 975 Kingsview Dr, Lebanon, Ohio |
| Authorized Official Name and Position | Sharon Burnett (CREDENTIALING / BILLING) |
| Authorized Official Contact | 5132287800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Mental Health Centers Of Warren County, Inc 975 Kingsview Dr Bldg A Lebanon OH 45036-9562 Ph: () - | Community Mental Health Centers Of Warren County, Inc 975 Kingsview Dr Lebanon OH 45036-9562 Ph: (513) 228-7800 |
| NPI Number | 1740278381 |
|---|---|
| Provider Enumeration Date | 10/07/2005 |
| Last Update Date | 11/23/2020 |
| Certification Date | 11/23/2020 |
| Medicare PECOS PAC ID | 0446155337 |
|---|---|
| Medicare Enrollment ID | O20031204000135 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740278381 | NPI | - | NPPES |
| 047 | Other | OH | OH DEPT OF MENTAL HEALTH |
| 2864011 | Medicaid | OH | |
| 2452224 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 047 (Ohio) | Primary |
| Provider Name | Russell W Dern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568438497 PECOS PAC ID: 7719882612 Enrollment ID: I20040804000071 |
| Provider Name | Linda Gal Endres |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386693844 PECOS PAC ID: 8527073055 Enrollment ID: I20060220000455 |
| Provider Name | Mary Ann Rose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346209152 PECOS PAC ID: 3274610910 Enrollment ID: I20080407000021 |
| Provider Name | Sunny Y Lu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1588852149 PECOS PAC ID: 1658591060 Enrollment ID: I20141007002520 |
| Provider Name | Lucas G Barton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730474164 PECOS PAC ID: 7214165604 Enrollment ID: I20150209001191 |
| Provider Name | James L Roe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679920425 PECOS PAC ID: 7810289188 Enrollment ID: I20160706001780 |
| Provider Name | Steven R Rosen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376665299 PECOS PAC ID: 1355623273 Enrollment ID: I20170127002265 |
| Provider Name | Jennifer Anne Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104345024 PECOS PAC ID: 0547535254 Enrollment ID: I20180605001772 |
| Provider Name | Julie A Knueven |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457757239 PECOS PAC ID: 6204122880 Enrollment ID: I20230207001888 |
| Provider Name | Lorien Paige Mason |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811312697 PECOS PAC ID: 4789037987 Enrollment ID: I20240124001136 |
| Provider Name | Shelby Marie Voss |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164941191 PECOS PAC ID: 9335592070 Enrollment ID: I20240129003325 |
| Provider Name | Kara Michelle Caudell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699057034 PECOS PAC ID: 1456794627 Enrollment ID: I20240206000123 |
Warren Outpatient Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 759 Columbus Ave, Lebanon, OH 45036 Phone: 513-932-4337 Fax: 513-932-6750 | |
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Talbert House, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 759 Columbus Ave, Lebanon, OH 45036 Phone: 513-932-4337 Fax: 513-932-6750 | |
Community Mental Heatlh Centers Of Warren County, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 975 Kingsview Dr Bldg A, Lebanon, OH 45036 Phone: 513-228-7800 Fax: 513-725-2231 | |
Abuse And Rape Crisis Shelter Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 27 N East St, Lebanon, OH 45036 Phone: 513-695-1185 Fax: 513-695-2433 | |
Recovery Defined, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 777 Columbus Ave Ste 7d, Lebanon, OH 45036 Phone: 513-228-6590 | |
Ascension Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1545 Shaker Run Blvd, Lebanon, OH 45036 Phone: 304-617-7859 |