COURTNEY LANDIS (NPI# 1104342377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104342377 |
| Entity Type | Individual |
| Full Name | COURTNEY LANDIS |
| Practice Address |
18 S Paint St Chillicothe OH 45601 |
| Mailing Address |
18 S Paint St Chillicothe OH 45601-3202 |
| Practice Telephone | 7408881377 |
| Practice Fax Number | 7402792970 |
| Mailing Telephone | 7408881377 |
| Mailing Fax Number | 7402792970 |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2019-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
150321 | OH | Behavioral Health & Social Service Providers |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.150321 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 027027 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 112 E Memorial Dr, Pomeroy, OH 457699569 | 7409922192 | 7409924018 |
| Street Address |
18 S PAINT ST |
| City | CHILLICOTHE |
| State | OH |
| Zip Code | 45601 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235745654 | Kayla Jane Palumbo | Counselor | 18 S Paint St, Chillicothe, OH 45601-3202 | 2020-09-21 |
| 1730646712 | Michael Rouse | Counselor | 18 S Paint St, Chillicothe, OH 45601-3202 | 2019-02-26 |
| 1689169583 | Summer Sisterman | Counselor | 18 S Paint St, Chillicothe, OH 45601-3202 | 2018-06-25 |
| 1740775659 | Angela Clark | Counselor | 18 S Paint St, Chillicothe, OH 45601-3202 | 2018-06-25 |
| 1336634245 | Rachelle Good | Counselor | 18 S Paint St, Chillicothe, OH 45601-3202 | 2018-06-25 |
| 1164917142 | Cara Jo Gillispie | Counselor | 18 S Paint St, Chillicothe, OH 45601-3202 | 2018-06-22 |
| 1568957538 | Lisa Hunt | Counselor | 18 S Paint St, Chillicothe, OH 45601-3202 | 2018-06-22 |
| 1447744289 | Halee Merida Burchett | Counselor | 18 S Paint St, Chillicothe, OH 45601-3202 | 2018-06-15 |
| 1053804963 | Tammy Raynell Saunders | Counselor | 18 S Paint St, Chillicothe, OH 45601-3202 | 2018-06-14 |
| 1548789928 | Gregory A Parks | Counselor | 18 S Paint St, Chillicothe, OH 45601-3202 | 2017-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457872 | Mariah Osborne | Social Worker | 4449 Oh-159, Chillicothe, OH 45601 | 2020-11-03 |
| 1831799741 | Cheyianna Hammond | Pharmacist | 85 River Trace, Chillicothe, OH 45601 | 2020-10-29 |
| 1326653932 | Tabitha Shoemaker | Social Worker | 18-20 E 2nd Street, Chillicothe, OH 45601 | 2020-09-10 |
| 1710596937 | Carly Rainey | Pharmacist | 17273 Sr-104, Chillicothe, OH 45601 | 2020-07-23 |
| 1821639386 | Samuel Ethan Henry | Physician Assistant | 17273 Oh 104, Chillicothe, OH 45601 | 2019-10-04 |
| 1881255040 | Brian Andrew Ice | Nurse Practitioner | 4437 Sr 159, Pavillion Ste 125, Chillicothe, OH 45601 | 2019-06-27 |
| 1770053332 | Dwayne Allan Webb | Home Health Aide | 16 N High St, Chillicothe, OH 45601 | 2018-11-27 |
| 1588148902 | Kristine Ann Oberlin | Social Worker | 16149 Oh-104, Chillicothe, OH 45601 | 2018-09-21 |
| 1730674904 | Christopher Lee Davis | Case Manager/Care Coordinator | 312 East 2nd Street, Chillicothe, OH 45601 | 2018-06-28 |
| 1942794201 | Nettie Vanhoy | Counselor | 220 North Plaza Boulavard, Chillicothe, OH 45601 | 2018-06-20 |
| Find all providers in zip 45601 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003428483 | Thomas Mathew Meyer | Counselor | 84 S Clinton Rd, Chillicothe, OH 45601-9666 | 2020-08-18 |
| 1891319679 | Kimberly Rodgers | Counselor | 2046 Lunbeck Rd, Chillicothe, OH 45601-8903 | 2020-06-08 |
| 1720609464 | Molly Renea Fenner | Counselor | 536 Mill St, Chillicothe, OH 45601-2322 | 2020-05-05 |
| 1801355953 | Stephen Edward Benner | Counselor | 606 Central Center Plaza, Chillicothe, OH 45601-2248 | 2019-03-18 |
| 1346713674 | Douglas Shaeffer | Counselor | 16643 State Route 104 Ste 1, Chillicothe, OH 45601-9718 | 2019-01-09 |
| 1710459003 | Dallas Kiger | Counselor | 126 E 2nd St Ste A, Chillicothe, OH 45601-2539 | 2018-12-26 |
| 1699252601 | Forrest Lee Bowling | Counselor | 19 E 5th St, Chillicothe, OH 45601-3303 | 2018-07-23 |
| 1437659737 | Maurice David Winfield | Counselor | Po Box 157, Chillicothe, OH 45601-0157 | 2018-02-14 |
| 1083114383 | Rachelle Christina Gray | Counselor | 84 S Clinton Rd # Po, Chillicothe, OH 45601-9666 | 2018-02-14 |
| 1992213573 | Alvin Jody Wilson | Counselor | 11402 State Route 50, Chillicothe, OH 45617 | 2018-01-17 |
| Find all providers in CHILLICOTHE | ||||
| City | CHILLICOTHE |
| Zip Code | 45601 |
Please comment or provide details below to improve the information on COURTNEY LANDIS.
| 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.