TYLEETA J MADISON (NPI# 1164065256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164065256 |
| Entity Type | Individual |
| Full Name | TYLEETA J MADISON |
| Credential | CDCA |
| Practice Address |
2115 W Park Dr Lorain OH 44053-1138 |
| Practice Telephone | 4409894900 |
| Practice Fax Number | 4402824779 |
| Mailing Telephone | 4409894900 |
| Mailing Fax Number | 4402824779 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2019-10-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | CDCA.171102 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE | CDCA.171102 | 01 |
| Street Address |
2115 W PARK DR |
| City | LORAIN |
| State | OH |
| Zip Code | 44053-1138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912930314 | Lorain County Alcohol & Drug Abuse Services, Inc. | Substance Abuse Rehabilitation Facility | 2115 W Park Dr, Lorain, OH 44053-1138 | 2006-07-09 |
| 1215548185 | Alyssa L Tennant | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-08-13 |
| 1881217545 | Daniel Laurence Gainer | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-05-28 |
| 1962032433 | Nathan A Boggs | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-01-23 |
| 1609415157 | Laura K Zannoni | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-01-02 |
| 1992343404 | Amber Stottlemire | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-12-16 |
| 1861039984 | Danielle N Hommel | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-12-09 |
| 1457994428 | Megan Eaton | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-10-23 |
| 1659931863 | Shannon K Twining | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-06-19 |
| 1376103598 | Amanda L Myers | Registered Nurse | 2115 W Park Dr, Lorain, OH 44053-1138 | 2019-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215434394 | Kayla M Thompson | Counselor | 6150 Park Square Dr, Lorain, OH 44053-4153 | 2018-04-06 |
| 1336599877 | Kyle Higgins | Counselor | 2101 Silver Maple Way, Lorain, OH 44053-2380 | 2016-06-15 |
| 1700268505 | Cynthia Arnold | Counselor | 4826 Ashland Ave, Lorain, OH 44053-3125 | 2015-06-29 |
| 1891302477 | Carlos Rodriguez | Counselor | 2173 N Ridge Rd E Ste E, Lorain, OH 44055-3400 | 2020-09-28 |
| 1588271191 | Lauren P Staggers | Counselor | 2173 N Ridge Rd E Ste E, Lorain, OH 44055-3400 | 2020-09-28 |
| 1730704099 | Halle M Branscum | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2020-06-12 |
| 1467077198 | Sarah Gwendolyn Barbin | Counselor | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-06-09 |
| 1245889146 | Kirsten Ann Hall | Counselor | 6140 S Broadway, Lorain, OH 44053-3821 | 2019-09-04 |
| 1053969238 | Megan Colleen Bickett | Counselor | 1865 N Ridge Rd E, Lorain, OH 44055-3300 | 2019-08-30 |
| 1477107357 | Elizabeth Anne Hall | Counselor | 6150 Park Square Dr, Lorain, OH 44053-4153 | 2019-07-29 |
| Find all providers in LORAIN | ||||
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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.