CLERMONT RECOVERY CENTER, INC. (NPI# 1043277759) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043277759 |
| Entity Type | Organization |
| Organization Name | CLERMONT RECOVERY CENTER, INC. |
| Other Organization Name | COUNCIL ON ALCOHOLISM & DRUG ABUSE |
| Practice Address |
1088 Wasserman Way Suite C Batavia OH 45103-1911 |
| Practice Telephone | 5137358100 |
| Practice Fax Number | 5137358156 |
| Mailing Telephone | 5137358100 |
| Mailing Fax Number | 5137358156 |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. STEVEN M. GOLDSBERRY (PRESIDENT/CEO) |
| Authorized Official Telephone | 5137358100 |
| Authorized Official Credential | LISW, LICDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| Other Name | Type Code |
|---|---|
| Council on Alcoholism & Drug Abuse | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366458465 | Clermont Recovery Center, Inc. | Public Health or Welfare | 1074 Wasserman Way, Batavia, OH 45103-1911 | 2006-07-31 |
| Street Address |
1088 WASSERMAN WAY SUITE C |
| City | BATAVIA |
| State | OH |
| Zip Code | 45103-1911 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083198949 | Christine M Miles | Case Manager/Care Coordinator | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2018-09-18 |
| 1578055752 | Deborah K Malone | Licensed Practical Nurse | 1088 Wasserman Way, Batavia, OH 45103 | 2018-06-04 |
| 1437657442 | Kellee A Love | Counselor | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2018-01-24 |
| 1720593676 | Ronda Dull | Case Manager/Care Coordinator | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2017-12-13 |
| 1275048472 | Rose Wible | Case Manager/Care Coordinator | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2017-12-11 |
| 1598270787 | Eric Handel | Case Manager/Care Coordinator | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2017-12-09 |
| 1154836484 | Michael Raymond Jones | Counselor | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2017-12-08 |
| 1811402225 | Lisa Carol Gulden | Counselor | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2017-12-07 |
| 1700391224 | David Taylor | Case Manager/Care Coordinator | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2017-12-06 |
| 1871008300 | Jerry Wittmeyer | Case Manager/Care Coordinator | 1088 Wasserman Way, Batavia, OH 45103-1974 | 2017-12-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689234486 | Mary Elizabeth Linz | Counselor | 4650 State Route 222, Batavia, OH 45103 | 2019-06-14 |
| 1679136188 | Anne Christine Nyktas | Dietitian, Registered | 4104 Bach-buxton Road, Batavia, OH 45103 | 2019-04-19 |
| 1437668589 | Christopher Robin Ross | Nurse Practitioner | 1174 Wingwood Trail, Batavia, OH 45103 | 2017-09-20 |
| 1528586369 | Nichole Eglian | Family Medicine | 4621 Blainfield Ct, Batavia, OH 45103 | 2017-08-31 |
| 1366842296 | Mary Suttschenko | Physical Therapist | 1325 Quail Ridge Road, Batavia, OH 45103 | 2014-08-28 |
| 1033532882 | Nhung Do | Social Worker | 463 South Broadway, Batavia, OH 45103 | 2014-01-30 |
| 1962840009 | Robert H Lewis | Specialist/Technologist | 1241 Ben Avon, Cincinnati, OH 45103 | 2013-06-11 |
| 1548506397 | Mary Ann Rhodes | Registered Nurse | 4352 Long Lake Dr, Apt 2214, Batavia, OH 45103 | 2012-12-26 |
| 1184958068 | Papia Das | Speech-Language Pathologist | 2400 Clermont Center Drive, Clermont County Educational Service Center, Batavia, OH 45103 | 2009-09-25 |
| 1558501650 | Clermont Northeastern Local Schools | Local Education Agency (LEA) | 2792 U.S. Highway 50, Batavia, OH 45103 | 2009-03-02 |
| Find all providers in zip 45103 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407974520 | Clermont County General Health District | Public Health or Welfare | 2400 Clermont Center Dr, #200, Batavia, OH 45103-1990 | 2007-03-27 |
| 1366458465 | Clermont Recovery Center, Inc. | Public Health or Welfare | 1074 Wasserman Way, Batavia, OH 45103-1911 | 2006-07-31 |
| 1619945573 | County of Genesee County Treasurer | Public Health or Welfare | 3837 W Main Street Rd, Genesee County Bldg. 2, Batavia, NY 14020-9406 | 2006-03-08 |
| 1265689509 | Clermont County General Health District | Public Health or Welfare | 2400 Clermont Center Dr, 200, Batavia, OH 45103-1990 | 2008-08-19 |
| 1255479226 | County of Genesee County Treasurer | Public Health or Welfare | 3837 W Main Street Rd, Genesee County Bldg. 2, Batavia, NY 14020-9406 | 2007-02-02 |
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| 1851811152 | Grace Services, Inc. | Public Health or Welfare | 715 N Meridian Road, Youngstown, OH 44509 | 2017-06-27 |
| 1972043248 | Youngstown Urban Minority Alcoholism and Drug Abuse Outreach Program | Public Health or Welfare | 1327 Florencedale Ave, Youngstown, OH 44505-2719 | 2017-03-06 |
| 1245688951 | County of Hamilton | Public Health or Welfare | 184 E Mcmillan St, Cincinnati, OH 45219-2607 | 2016-06-03 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
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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.