MS. JADE THURSIA FISHBURN (NPI# 1124440607) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124440607 |
| Entity Type | Individual |
| Full Name | MS. JADE THURSIA FISHBURN |
| Credential | B.A., CDCA |
| Practice Address |
811 Faircrest Street Sw Canton OH 44706 |
| Mailing Address |
811 Faircrest Street Sw Bright House Canton OH 44706 |
| Practice Telephone | 3306394408 |
| Practice Fax Number | 3306394436 |
| Mailing Telephone | 3306394408 |
| Mailing Fax Number | 3306394436 |
| Enumeration Date | 2014-01-17 |
| Last Update Date | 2014-01-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
13498 | OH | Behavioral Health & Social Service Providers |
| Street Address |
811 FAIRCREST STREET SW |
| City | CANTON |
| State | OH |
| Zip Code | 44706 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376986000 | Amanda Wappler | Counselor | 811 Faircrest Street Sw, Canton, OH 44706-4844 | 2013-04-11 |
| 1326459207 | Marla Mcvicker | Counselor | 811 Faircrest Street Sw, Canton, OH 44706 | 2014-05-14 |
| 1962831685 | Quest Recovery and Prevention Services, Inc. | Community/Behavioral Health | 811 Faircrest Street Sw, Canton, OH 44706 | 2013-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255741666 | Garfield Academy, Inc. | Local Education Agency (LEA) | 1379 Garfield Sw, Canton, OH 44706 | 2014-05-07 |
| 1982748414 | Total Living Center Free Clinic | Clinic/Center | 2221 9th St Sw Free Clinic, 2221 9th St Sw, Canton, OH 44706 | 2007-02-17 |
| 1649283631 | Rohit Prakash | Internal Medicine | 255 Dueber Ave Sw, Canton, OH 44706 | 2006-08-14 |
| 1114936119 | Cindi Renea Dagenhard | Licensed Practical Nurse | 2851 Highview Ave Sw, Canton, OH 44706 | 2006-08-07 |
| 1982018859 | Anne M Mccurdy | Counselor | 811 Faircrest St Sw, Canton, OH 44706 | 2014-06-18 |
| 1124049663 | Michael L Yutzy | Family Medicine | 2600 6th St Sw, Canton, OH 44706 | 2006-07-21 |
| 1669818092 | Linda May May | Registered Nurse | 217 Harrison Ave Sw, Canton, OH 44706-1118 | 2013-05-13 |
| 1114446770 | Melissa A Webster | Registered Nurse | 202 Arlington Ave Sw, Canton, OH 44706-1137 | 2017-09-14 |
| 1194142752 | Melissa May | Nurse's Aide | 214 Arlington Ave Sw, Canton, OH 44706-1137 | 2014-03-20 |
| 1063408177 | Kevin K Hill | Internal Medicine | 201 Dueber Ave Sw, Canton, OH 44706-1164 | 2005-09-23 |
| Find all providers in zip 44706 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851904890 | Aurora Health Services LLC | Counselor | 200 6th Street Nw, Canton, OH 44702-1005 | 2020-08-28 |
| 1942819032 | Restoration Community Services LLC | Counselor | 831 Market Ave N, Canton, OH 44702-1175 | 2020-07-24 |
| 1619590882 | A.v.o Behavioral Health LLC | Counselor | 3745 Whipple Ave Nw Ste A, Canton, OH 44718-4805 | 2020-05-22 |
| 1356976930 | Nadine Blase Psareas | Counselor | 1558 Marietta Hwy Ste 200, Canton, GA 30114-3615 | 2020-03-04 |
| 1245870591 | Adriane Everett | Counselor | 906 12 St Nw, Canton, OH 44703 | 2020-01-14 |
| 1770123812 | Kelly Wells | Counselor | 906 12th St Nw, Canton, OH 44703-1902 | 2020-01-07 |
| 1528601663 | Shelly R Bowling | Counselor | 1522 Baum St Se, Canton, OH 44707-1107 | 2019-10-22 |
| 1962043141 | Erin Ann Williams | Counselor | 1023 S Trade Days Blvd Unit 102, Canton, TX 75103-2434 | 2019-09-30 |
| 1346898079 | Shericka Meeks | Counselor | 304 15th St Ne Ste B, Canton, OH 44714-2523 | 2019-08-27 |
| 1295293876 | Diamond Lawrencethia Gay | Counselor | 4661 Belpar St Nw, Canton, OH 44718-3602 | 2019-03-04 |
| Find all providers in CANTON | ||||
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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.