MELANIE KENNEBECK (NPI# 1124517396) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124517396 |
| Entity Type | Individual |
| Full Name | MELANIE KENNEBECK |
| Credential | PSY/ASST/INTRN/MA |
| Practice Address |
16101 Snow Rd Brookpark OH 44142-2817 |
| Mailing Address |
434 Eastland Rd Berea OH 44017-1217 |
| Practice Telephone | 4402608300 |
| Mailing Telephone | 4402342006 |
| Enumeration Date | 2018-05-03 |
| Last Update Date | 2018-05-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
16101 SNOW RD |
| City | BROOKPARK |
| State | OH |
| Zip Code | 44142-2817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053433086 | Tricia Anne Silver-riskin | Social Worker | 16101 Snow Rd, Brookpark, OH 44142-2817 | 2007-04-03 |
| 1174161483 | Shannen Olbrysh | Case Management | 16101 Snow Rd, Brookpark, OH 44142-2817 | 2019-12-17 |
| 1942761234 | Christopher Scott | Case Manager/Care Coordinator | 16101 Snow Rd, Brookpark, OH 44142-2817 | 2019-03-28 |
| 1700350550 | Marina Stanovska | Case Manager/Care Coordinator | 16101 Snow Rd, Brookpark, OH 44142-2817 | 2019-01-15 |
| 1518433283 | Megan Mancini | Psychologist | 16101 Snow Rd, Brookpark, OH 44142-2817 | 2018-10-19 |
| 1053894881 | Lauren Ashley Zellmer | Psychologist | 16101 Snow Rd, Brookpark, OH 44142-2817 | 2018-09-07 |
| 1487136875 | Amber Friedel | Social Worker | 16101 Snow Rd, Brookpark, OH 44142-2817 | 2018-08-31 |
| 1073004685 | Katlin Dagg | Community Health Worker | 16101 Snow Rd, Brookpark, OH 44142-2817 | 2018-05-21 |
| 1881185452 | Shareece Cannonier | Community Health Worker | 16101 Snow Rd, Brookpark, OH 44142-2817 | 2018-05-19 |
| 1700376787 | Elaine Hendershot | Social Worker | 16101 Snow Rd, Brookpark, OH 44142-2817 | 2018-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326527516 | Kyle Snyder | Community/Behavioral Health | 5545 Smith Road, Brook Park, OH 44142 | 2018-08-09 |
| 1720576747 | Jennifer Siek | Community/Behavioral Health | 5555 Smith Road, Brook Park, OH 44142 | 2018-04-25 |
| 1538556360 | National Seating & Mobility, Inc | Durable Medical Equipment & Medical Supplies | 6430 Eastland Rd, Brook Park, OH 44142 | 2015-04-20 |
| 1275742751 | Debra A. Tkac | Counselor | Ohio Guidestone, 16101 Snow Road, Suite 101, Brookpark, OH 44142 | 2007-05-22 |
| 1619998788 | Brookpark City | Ambulance | 17401 Holland Rd, Brookpark, OH 44142 | 2006-07-22 |
| 1497228605 | Alexis Pfarr | Community/Behavioral Health | 5545 Smith Road, Brook Park, OH 44142 | 2019-01-10 |
| 1154802122 | Deneen Watson | Community/Behavioral Health | 5545 Smith Road, Brook Park, OH 44142 | 2018-08-27 |
| 1073094520 | Lacie Robinson | Community/Behavioral Health | 5545 Smith Road, Brook Park, OH 44142 | 2018-08-23 |
| 1619157039 | Outreach Professional Services Inc | Oral & Maxillofacial Surgery | 15900 Snow Rd, Suite 200, Brook Park, OH 44142 | 2007-11-14 |
| 1487728382 | Denise Holocker | Physician Assistant | 15900 Snow Rd, Ste 200, Brookpark, OH 44142 | 2006-11-20 |
| Find all providers in zip 44142 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518451301 | Tiffany Jensen | Community/Behavioral Health | 16101 Snow Rd Ste 103, Brookpark, OH 44142-2817 | 2018-06-15 |
| 1932417193 | Reach Counseling Services | Community/Behavioral Health | 5445 Smith Rd, Brookpark, OH 44142-2026 | 2010-09-21 |
| 1851855951 | Tyler Robert Eliason | Community/Behavioral Health | 5445 Smith Rd, Brookpark, OH 44142-2026 | 2019-01-23 |
| 1255821732 | Anthony Michael Martin | Community/Behavioral Health | 5445 Smith Rd, Brookpark, OH 44142-2026 | 2018-05-10 |
| 1508356049 | Julie Copenhaver | Community/Behavioral Health | 5445 Smith Rd, Brookpark, OH 44142-2026 | 2018-05-10 |
| 1215426929 | Julio Torres | Community/Behavioral Health | 5555 Smith Rd, Brookpark, OH 44142-2028 | 2018-05-08 |
| 1003305715 | Anthony Sanabria | Community/Behavioral Health | 5555 Smith Rd, Brookpark, OH 44142-2028 | 2018-05-08 |
| 1184113888 | Melissa Marano | Community/Behavioral Health | 5555 Smith Rd, Brookpark, OH 44142-2028 | 2018-05-08 |
| 1063901346 | Patrick Coleman | Community/Behavioral Health | 5555 Smith Rd, Brookpark, OH 44142-2028 | 2018-05-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436185 | Jermane L Belton | Community/Behavioral Health | 1007 E Crosier St, Akron, OH 44306-1538 | 2020-10-29 |
| 1942800065 | In Balance Counseling LLC | Community/Behavioral Health | 13 E Main St Ste 4, Hudson, OH 44236-3061 | 2020-10-28 |
| 1831799246 | Serenity Springs Clinical Counseling LLC | Community/Behavioral Health | 5913 Pineville Dr, Grove City, OH 43123-2568 | 2020-10-27 |
| 1891393328 | Hws Best Health LLC | Community/Behavioral Health | 3878 Old Hickory Ave Nw, Canton, OH 44718-3871 | 2020-10-16 |
| 1437757143 | Executive Heritage's Assisted Living, Inc | Community/Behavioral Health | 4050 Executive Park Dr Ste 240, Cincinnati, OH 45241-2094 | 2020-10-14 |
| 1649878885 | Transformative Solutions LLC | Community/Behavioral Health | 3454 Oak Alley Ct Ste 404, Toledo, OH 43606-1355 | 2020-10-10 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1720695943 | Eleven 11 Behavioral Solutions | Community/Behavioral Health | 79 Verdin Ct, Gahanna, OH 43230-6714 | 2020-09-30 |
| 1326654641 | Tiffany Hopkins Online Counseling LLC | Community/Behavioral Health | 4342 Carthel Dr, Liberty Twp, OH 45011-2316 | 2020-09-22 |
| 1326654740 | Justin's Love Home Health Agency | Community/Behavioral Health | 17325 Euclid Ave Ste 2017, Cleveland, OH 44112-1250 | 2020-09-21 |
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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.