MARK KLINE (NPI# 1104371996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104371996 |
| Entity Type | Individual |
| Full Name | MARK KLINE |
| Credential | CDCA QMHSMA CMS |
| Practice Address |
3500 Carnegie Ave Cleveland OH 44115-2641 |
| Mailing Address |
434 Eastland Rd Berea OH 44017-1217 |
| Practice Telephone | 4402638300 |
| Mailing Telephone | 4402342006 |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA170844 | OH | Behavioral Health & Social Service Providers |
| N | 172V00000X | Community Health Worker | OH | Other Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | OH | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 202 E Bagley Rd, Berea, OH 440172058 | 4402608327 | 4402608305 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003362252 | Mark Kline | Registered Nurse | 22170 W Nine Mile Rd, Southfield, MI 48033 | 2016-08-28 |
| 1477670495 | Mark Douglas Kline | Psychiatry & Neurology | 2319 N 45th St Ste 209, Seattle, WA 98103-6978 | 2007-03-23 |
| 1679522460 | Mark Allen Kline | Chiropractor | 6151 28th St Se, Grand Rapids, MI 49546-6935 | 2006-05-09 |
| 1295807238 | Mark Jay Kline | Psychologist | 11 Chapel Pl, Wellesley, MA 02481-3130 | 2006-11-14 |
| 1306926670 | Mark Kline | Pediatrics | 6701 Fannin St, Houston, TX 77030-2316 | 2006-10-17 |
| 1194760595 | Mark Kline | Emergency Medicine | 400 W 7th St, Frederick, MD 21701-4506 | 2006-06-19 |
| 1952369159 | Mark E Kline | Radiology | 11209 N Tatum Blvd, Suite # 110, Phoenix, AZ 85028-3091 | 2006-05-04 |
| 1003896176 | Mark D Kline | Specialist | 1550 Boyson Rd, Hiawatha, IA 52233-2362 | 2006-01-17 |
| Street Address |
3500 CARNEGIE AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44115-2641 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386622934 | Kevin James Williamson | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2006-01-04 |
| 1720689573 | Johnna Miska | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-11-06 |
| 1962003723 | Lori Musarra | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-11-06 |
| 1861093700 | Leah Popkin | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-11-06 |
| 1700486487 | Gina M Branco | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-30 |
| 1770183659 | Hannah B Vertal | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-29 |
| 1417556432 | Derrick A Pledger | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-21 |
| 1255930285 | Jessica Raye Yeager | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-21 |
| 1588263859 | Kaeley Doyle | Counselor | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-19 |
| 1225636822 | Erica J. Tapia-mateo | Community Health Worker | 3500 Carnegie Ave, Cleveland, OH 44115-2641 | 2020-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1881231850 | Steven Kelly | Case Management | 3500 Carnegie Ave., Cleveland, OH 44115 | 2019-12-09 |
| 1649821422 | Larry Hollimon | Technician | 2320 East 30th Street, Apt #1304, Cleveland, OH 44115 | 2019-09-24 |
| 1306332408 | Tyler Milam | Counselor | 2334 Prospect Ave., 400, Cleveland, OH 44115 | 2018-07-02 |
| 1780108019 | Victoria Charles | Registered Nurse | 2500 E. 22nd St, Cleveland, OH 44115 | 2017-07-28 |
| 1528580511 | Randol Jamel Kennedy | Internal Medicine | 2351 East 22nd Street Suite 338 W, St. Vincent Charity Medical Center, Cleveland, OH 44115 | 2017-07-11 |
| 1508393422 | Gang Anthony Lu | Dentist | 1110 Euclid Ave Ste 202, Cleveland, OH 44115 | 2017-05-23 |
| 1093116501 | Megan Shiles | Psychologist | 2675 East 30th St., Cleveland, OH 44115 | 2014-09-16 |
| 1003224577 | Efewongbe Benedicta Oleghe | Internal Medicine | 2351 E 22nd Street, St Vincent's Charity Medical Center, Cleveland, OH 44115 | 2014-07-29 |
| 1982032074 | Andrew Winchester | Social Worker | 2500 Carnegie Ave, Cleveland, OH 44115 | 2013-10-29 |
| Find all providers in zip 44115 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1215537493 | Christine Moran | Counselor | 3092 W 155th St, Cleveland, OH 44111-1029 | 2020-10-28 |
| 1699301903 | Deon Bushner | Counselor | 1400 E 55th St, Cleveland, OH 44103-1304 | 2020-03-18 |
| 1043842347 | Karen Hill | Counselor | 11100 Saint Clair Ave Ste 228, Cleveland, OH 44108-1943 | 2020-02-05 |
| 1073143657 | Jeff Ward & Associates LLC | Counselor | 12805 Revere Ave, Cleveland, OH 44105-2959 | 2020-01-22 |
| 1952941858 | Danielle Celeste Yates | Counselor | 18019 Parkmount Ave, Cleveland, OH 44135-4127 | 2020-01-09 |
| 1629618590 | Kinneykares, Inc. | Counselor | 1599 E 40th St, Cleveland, OH 44103-2301 | 2020-01-08 |
| 1962048728 | Reliable Hearts | Counselor | 16001 Holmes Ave, Cleveland, OH 44110-2460 | 2019-11-26 |
| 1154966745 | Edith Davis-fletcher | Counselor | 2400 Greenvale Rd, Cleveland, OH 44121-1116 | 2019-11-07 |
| 1285278283 | Lavetta Louise Jonesprice | Counselor | 3830 E 131st St, Cleveland, OH 44120-4664 | 2019-11-01 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on MARK KLINE.
| 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.