BRENDA KING (NPI# 1184134942) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184134942 |
| Entity Type | Individual |
| Full Name | BRENDA KING |
| Credential | LCDCIII |
| Practice Address |
151 E Main St Jackson OH 45640-1742 |
| Mailing Address |
9645 Beaver Pike Jackson OH 45640-9310 |
| Practice Telephone | 7402861888 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
141047 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578013223 | Brenda King | Counselor | 505 Myers St, Pineville, LA 71360 | 2016-10-06 |
| 1659620425 | Brenda Doreen King | Early Intervention Provider Agency | 301 Elmhurst Ave, Vine Grove, KY 40175-1211 | 2012-09-07 |
| 1417234923 | Brenda King | Licensed Practical Nurse | 100 Ballard Ave, Syracuse, NY 13205-1001 | 2011-11-11 |
| 1619201704 | Brenda J King | Psychologist | 78 Burncoat Street, Worcester, MA 01605 | 2009-09-23 |
| 1669627162 | Brenda King | Counselor | 4261 N Teutonia Ave, Milwaukee, WI 53209-6754 | 2008-11-25 |
| 1558536110 | Brenda Stubbs King | Counselor | 2020 Avalon Pkwy, Suite 185, Mcdonough, GA 30253-3054 | 2008-04-24 |
| 1518150945 | Brenda Hackney King | Physical Therapist | 4895 Pine Ridge Dr, Columbus, IN 47201-2569 | 2007-08-20 |
| 1982635108 | Brenda Sue King | Social Worker | 5610 Sandy Lewis Dr Ste A, Fairfax, VA 22032-4045 | 2006-07-05 |
| 1942779822 | Brenda King | Counselor | 2323 Windish Dr, Galesburg, IL 61401-9780 | 2018-11-20 |
| 1871973099 | Brenda King | Community Health Worker | 15095 Amargosa Rd, Suite 201, Victorville, CA 92394-1879 | 2015-06-03 |
| Street Address |
151 E MAIN ST |
| City | JACKSON |
| State | OH |
| Zip Code | 45640-1742 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891321246 | Helen Royster | Case Manager/Care Coordinator | 151 E Main St, Jackson, OH 45640-1742 | 2020-03-17 |
| 1821501842 | Lora Jean Boggs | Counselor | 151 E Main St, Jackson, OH 45640-1742 | 2017-11-13 |
| 1447763958 | Chad Matthew Young | Counselor | 151 E Main St, Jackson, OH 45640-1742 | 2017-11-07 |
| 1114439460 | Elizabeth Ann Legg | Counselor | 151 E Main St, Jackson, OH 45640-1742 | 2017-10-26 |
| 1407375926 | Norman L Gilmore | Counselor | 151 E Main St, Jackson, OH 45640-1742 | 2017-09-15 |
| 1528587607 | Nicholas Sharp | Counselor | 151 E Main St, Jackson, OH 45640-1742 | 2017-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275131047 | Karen Angela Hill | Homemaker | 399 Florence Ave., Jackson, OH 45640 | 2020-10-14 |
| 1639609183 | Katherine Elizabeth Kazee | Pharmacist | 530 E Main St., Jackson, OH 45640 | 2017-06-18 |
| 1477080703 | Mary Jane Adams | Registered Nurse | 10 Lady Avenue, Jackson, OH 45640 | 2017-05-17 |
| 1669721833 | David L Weaver | Counselor | 731 E. Main Street, Suite 16, Jackson, OH 45640 | 2012-09-04 |
| 1710297387 | Cheryl Renee Mccarty | Physical Therapy Assistant | 269 E South Street, Jackson, OH 45640 | 2010-10-18 |
| 1619203536 | Connie Rae Klein-ferguson | Registered Nurse | 388 Webb Pierce Road, Jackson, OH 45640 | 2009-10-28 |
| 1114194347 | Community Action Committee of Pike County | Clinic/Center | 14590 St Rt 93, Family Health Center Jackson, Jackson, OH 45640 | 2008-05-16 |
| 1548489149 | Synergy Dialysis Associates, LLC | Clinic/Center | 500 Mccarty Ln, Jackson, OH 45640 | 2007-04-24 |
| 1770629487 | Lance Family Medicine | Family Medicine | 212 Pearl Street Suite E, Jackson, OH 45640 | 2007-01-29 |
| 1023176104 | Amber Nichole Pratt | Speech-Language Pathologist | 822 Sellars Dr, Jackson, OH 45640 | 2006-12-04 |
| Find all providers in zip 45640 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952665 | John Cate Owen | Counselor | 2525 Lakeward Dr Ste 400, Jackson, MS 39216-4827 | 2020-11-04 |
| 1760098727 | Anna Marie Jones | Counselor | 32 Portsmouth St, Jackson, OH 45640-1622 | 2020-09-16 |
| 1891313656 | Kayla Lynn Fazzari | Counselor | N168w20964 Main St, Jackson, WI 53037-9634 | 2020-07-08 |
| 1184184202 | Tracy Dawn Schuh | Counselor | 300 Morton St, Jackson, OH 45640-1028 | 2019-03-24 |
| 1013483858 | Bradley A Tompson | Counselor | 794 Mcdonough Rd Ste 100, Jackson, GA 30233-1572 | 2018-10-19 |
| 1295237048 | Impact Behavioral Counseling LLC | Counselor | 37 Sandstone Cir Ste 92b, Jackson, TN 38305-2089 | 2018-03-07 |
| 1942708920 | Candace R Downey | Counselor | 120 Twin Oaks Dr Unit D, Jackson, OH 45640-9506 | 2018-01-25 |
| 1508379462 | Vicki Lee Harper | Counselor | 295 Broadway St Ste 101, Jackson, OH 45640-1701 | 2017-11-14 |
| 1356867295 | Stephanie Michelle Gilbert | Counselor | 345 E Main St Ste A, Jackson, OH 45640-1780 | 2017-08-22 |
| 1477081206 | Trending Upwards | Counselor | 1754 Highway 15 N, Jackson, KY 41339 | 2017-05-24 |
| Find all providers in JACKSON | ||||
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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.