PICKAWAY AREA RECOVERY SERVICES (NPI# 1063462109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063462109 |
| Entity Type | Organization |
| Organization Name | PICKAWAY AREA RECOVERY SERVICES |
| Other Organization Name | FAYETTE RECOVERY CENTER |
| Practice Address |
319 Logan St Circleville OH 43113-2213 |
| Practice Telephone | 7404771745 |
| Practice Fax Number | 7404772779 |
| Mailing Telephone | 7404771745 |
| Mailing Fax Number | 7404772779 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. CECILIA I FERGUSON (FINANCIAL OFFICER) |
| Authorized Official Telephone | 7404771745 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Fayette Recovery Center | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235626524 | Pickaway Area Recovery Services | Clinic/Center | 110 Highland Ave, Circleville, OH 43113-1208 | 2018-04-23 |
| Street Address |
319 LOGAN ST |
| City | CIRCLEVILLE |
| State | OH |
| Zip Code | 43113-2213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104303882 | Charles Paul Bradley | Adult Companion | 776 North Court Street, Circleville, OH 43113 | 2018-07-25 |
| 1356841472 | Bobi Jo Carpenter | Nurse Practitioner | 1180 N. Court St., Circleville, OH 43113 | 2018-02-15 |
| 1235637968 | Denise Van Gundy | Social Worker | 26442 Kime Holderman Rd, Circleville, OH 43113 | 2018-01-29 |
| 1912425562 | Erin E Good | Audiologist-Hearing Aid Fitter | 5074 N High Street, Columbus, OH 43113 | 2017-09-05 |
| 1487178687 | Amy Michelle Provenzano | Nurse Practitioner | 600 N. Pickaway St, Suite 300 3rd Floor Mo Bldg, Circleville, OH 43113 | 2017-07-28 |
| 1801343371 | Amanda Hamman | Speech-Language Pathologist | 588 Clark Drive, Circleville, OH 43113 | 2016-09-01 |
| 1235588823 | Family Urgent Care LLC | Clinic/Center | 1180 North Court Street, Family Urgent Care, LLC, Circleville, OH 43113 | 2016-06-06 |
| 1801295878 | Andre Woeste | Psychologist | 100 Tiger Drive, Circleville, OH 43113 | 2014-08-15 |
| 1396159935 | Regina Ann Boysel | Home Health Aide | 200 Villa Drive, Circleville, OH 43113 | 2014-06-11 |
| 1760797542 | Chamberlain Family Therapy | Social Worker | 906 N. Court St. Suite C, Circleville, OH 43113 | 2010-08-17 |
| Find all providers in zip 43113 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740339803 | Jacqueline Ann Rose | Counselor | 906 N Court St, Suite C, Circleville, OH 43113-1230 | 2007-01-09 |
| 1083224216 | Anedeam Snow Martin | Counselor | 110 Highland Ave, Circleville, OH 43113-1208 | 2020-08-03 |
| 1881229573 | Taryn Goble | Counselor | 110 Highland Ave, Circleville, OH 43113-1208 | 2020-03-03 |
| 1932747409 | Terry Matthew Stewart | Counselor | 110 Highland Ave, Circleville, OH 43113-1208 | 2019-12-16 |
| 1013565027 | Sheena Artrip | Counselor | 110 Highland Ave, Circleville, OH 43113-1208 | 2019-09-03 |
| 1578117305 | Stephanie Lynn Heaston | Counselor | 110 Highland Ave, Circleville, OH 43113-1208 | 2019-07-30 |
| 1194299032 | Dan Richard Bise | Counselor | 101 1/2 W Main St, Circleville, OH 43113-1619 | 2019-01-14 |
| 1386114072 | Megan Bailey | Counselor | 110 Highland Ave, Circleville, OH 43113-1208 | 2018-11-26 |
| 1275000861 | Kailee Mishelle Gardner | Counselor | 101 1/2 W Main St, Circleville, OH 43113-1619 | 2018-11-01 |
| 1831665959 | Erica Elizabeth Radcliff | Counselor | 110 Highland Ave, Circleville, OH 43113-1208 | 2018-10-16 |
| Find all providers in CIRCLEVILLE | ||||
| City | CIRCLEVILLE |
| Zip Code | 43113 |
Please comment or provide details below to improve the information on PICKAWAY AREA RECOVERY SERVICES.
| 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.