MRS. REBECCA FAITH RICH-FIDLER (NPI# 1073010815) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073010815 |
Entity Type | Individual |
Full Name | MRS. REBECCA FAITH RICH-FIDLER |
Credential | MA, LPCC, LICDC |
Practice Address |
30811 Lake Logan Rd Logan OH 43138-9546 |
Practice Telephone | 7406036165 |
Practice Fax Number | 7407774014 |
Mailing Telephone | 7406036165 |
Mailing Fax Number | 7407774014 |
Enumeration Date | 2018-04-09 |
Last Update Date | 2020-02-05 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LICDC.161951 | OH | Behavioral Health & Social Service Providers |
Y | 101YP2500X |
Counselor Specialization: Professional |
E.1901547 | OH | Behavioral Health & Social Service Providers |
Street Address |
30811 LAKE LOGAN RD |
City | LOGAN |
State | OH |
Zip Code | 43138-9546 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114550027 | Naaman Christopher Fidler | Case Manager/Care Coordinator | 30811 Lake Logan Rd, Logan, OH 43138-9546 | 2020-02-19 |
1861023459 | R F Rich-fidler, LLC | Case Management | 30811 Lake Logan Rd, Logan, OH 43138-9546 | 2020-01-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538667696 | Kelsey Whalen | Social Worker | 541 Sr 93 N, Suite C, Logan, OH 43138 | 2018-01-24 |
1144728205 | Raeann Harry-boothe | Counselor | 313 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
1336661784 | Megan Correll | Nurse Practitioner | 541 Sr 664n, Suite C, Logan, OH 43138 | 2017-07-07 |
1841735800 | Coler Drug Logan, Ltd | Durable Medical Equipment & Medical Supplies | 21 Hocking Mall, Logan, OH 43138 | 2016-12-30 |
1932515418 | Melissa O'harra-brown | Nurse Practitioner | 541 Sr 664 N, Suite C, Logan, OH 43138 | 2014-07-07 |
1790198950 | Matthew R Williams | Audiologist | 1323 West Hunter St., Logan, OH 43138 | 2014-06-05 |
1194138651 | Diles Logan Hearing Center, L.L.C. | Audiologist | 1323 West Hunter Street, Logan, OH 43138 | 2014-06-03 |
1205252210 | Shaun Crisp | Occupational Therapy Assistant | 601 Ohio 664, Hocking Valley Community Hospital, Logan, OH 43138 | 2014-03-14 |
1467780056 | Natalie Simpson | Licensed Practical Nurse | 583 E Second St, Logan, OH 43138 | 2009-11-20 |
1821243262 | Angela Rose Hartbarger | Counselor | 541 St. Rt. 664, Suite C, Logan, OH 43138 | 2008-11-26 |
Find all providers in zip 43138 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174008239 | Sandra Bernadine Vance | Counselor | 174 Lmamh Center Road, Logan, WV 25601-0176 | 2018-09-25 |
1144728205 | Raeann Harry-boothe | Counselor | 313 Chieftain Dr, Logan, OH 43138 | 2018-01-24 |
1841707825 | Jessica Matheny | Counselor | 819 State Route 664 N Ste A, Logan, OH 43138-8540 | 2017-12-29 |
1811245848 | Makaila Tussing | Counselor | 541 State Route 664 N, Suite C, Logan, OH 43138-8541 | 2012-08-23 |
1821243262 | Angela Rose Hartbarger | Counselor | 541 St. Rt. 664, Suite C, Logan, OH 43138 | 2008-11-26 |
1104987460 | William C. Brown | Counselor | 175 West 1400 North, Suite A, Logan, UT 84321-2326 | 2006-12-12 |
1962502641 | Merilyn Wright | Counselor | 550 N Main St Ste 222, Logan, UT 84321-3957 | 2006-09-23 |
1891347704 | Logan Professional Counseling Services | Counselor | 710 Stratton St, Logan, WV 25601-4015 | 2019-07-10 |
1568954782 | Lisa Meade | Counselor | 710 Stratton St, Logan, WV 25601-4015 | 2018-06-04 |
1689173130 | New Hope Counseling | Counselor | 1 Wildcat Way, Logan, WV 25601-3474 | 2018-02-09 |
Find all providers in LOGAN |
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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.