MR. KENNETH CHARLES RIDEOUT (NPI# 1003901562) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003901562 |
| Entity Type | Individual |
| Full Name | MR. KENNETH CHARLES RIDEOUT |
| Credential | M. ED. |
| Practice Address |
321 East 5th Avenue Tarentum PA 15208 |
| Practice Telephone | 7242260664 |
| Practice Fax Number | 7242264865 |
| Mailing Telephone | 7242260664 |
| Mailing Fax Number | 7242264865 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
321 EAST 5TH AVENUE |
| City | TARENTUM |
| State | PA |
| Zip Code | 15208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346314168 | Michele Devlin | Counselor | 321 East 5th Avenue, Tarentum, PA 15084 | 2006-11-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649532052 | Power | Public Health or Welfare | 7501 Penn Avenue, Pittsburgh, PA 15208 | 2012-06-12 |
| 1396004198 | Dolores Ann Justice | Counselor | 6714 Kelly Street, Narcotic Addiction Treatment Program, Pittsburgh, PA 15208 | 2012-05-14 |
| 1629337761 | Paige E Moeller | Counselor | 333 North Braddock Ave, Pittsburgh, PA 15208 | 2012-05-10 |
| 1073872263 | Daniel Lichok IIi | Counselor | 333 North Braddock Avenue, Pittsburgh, PA 15208 | 2012-05-09 |
| 1659662476 | Jesse A. Virago | Counselor | 6928 Meade Street, No. 3, Pittsburgh, PA 15208 | 2011-04-27 |
| 1841476587 | Community Empowerment Association Inc | Preventive Medicine | 400 N Lexington Avenue, Building 500, Pittsburgh, PA 15208 | 2008-01-11 |
| 1386183424 | Diannne Hurt | Registered Nurse | 6714 Kelly Street, Pittsburgh, PA 15208 | 2017-02-22 |
| 1194185033 | Katherine O'brien Mccall | Social Worker | 7501 Penn Ave, Suite 8, Pittsburgh, PA 15208 | 2016-03-04 |
| 1477812634 | Denise Marie Rittenhouse-carroll | Counselor | 333 N Braddock Ave, Pittsburgh, PA 15208 | 2012-05-09 |
| 1467612101 | Steve Choder | Social Worker | 6714 Kelly St, Pittsburgh, PA 15208 | 2008-06-16 |
| Find all providers in zip 15208 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
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| 1750993325 | Dennis Lee Haynes Jr. | Counselor | 3501 Forbes Ave Fl 9, Pittsburgh, PA 15213-3317 | 2020-08-17 |
| 1992314850 | Finding Her Way, LLC | Counselor | 501 Valley Brook Rd Ste 204b, Mc Murray, PA 15317-3428 | 2020-07-27 |
| 1922626035 | Jane-marie Kennedy | Counselor | 2970 Corporate Ct Ste 1, Orefield, PA 18069-3158 | 2020-07-07 |
| 1871110270 | Randy Paul Macsisak | Counselor | 451 Chew St Ste 106, Allentown, PA 18102-3412 | 2020-07-01 |
| 1215554233 | Scott T Reiman | Counselor | 1224 Whitehall Ave, Easton, PA 18045-5621 | 2020-06-26 |
| 1386269231 | Rasheeda Jackson | Counselor | 117 Rosemar St, Philadelphia, PA 19120-1922 | 2020-06-16 |
| 1043835457 | Kelly Anne Clarke | Counselor | American Treatment Network Physician & Associates, 1120 Township Line Road, Havertown, PA 19083 | 2020-06-11 |
| 1215551452 | Grace Polohonki | Counselor | 490 Jefers Street, Dubois, PA 15801 | 2020-06-03 |
| 1902420425 | Harry Shane Falwell | Counselor | 2203 W Liberty St, Allentown, PA 18104-4323 | 2020-06-01 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.