GOODWILL EASTER SEALS OF MIAMI VALLEY (NPI# 1205297363) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205297363 |
| Entity Type | Organization |
| Organization Name | GOODWILL EASTER SEALS OF MIAMI VALLEY |
| Other Organization Name | GOODWILL EASTER SEALS MIAMI VALLEY |
| Practice Address |
660 S Main St Dayton OH 45402 |
| Mailing Address |
660 S Main St Dayton OH 45402-2708 |
| Practice Telephone | 9374614800 |
| Mailing Telephone | 9374614800 |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2018-06-29 |
| Authorized Official Name | MS. DAWN RENEE COOKSEY (DIRECTOR OF BEHAVIORAL HEALTH) |
| Authorized Official Telephone | 9375286310 |
| Authorized Official Credential | LISW-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 01-0550 | OH | Agencies |
| Other Name | Type Code |
|---|---|
| Goodwill Easter Seals Miami Valley | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154547883 | Goodwill Easter Seals of Miami Valley | Counselor | 660 S Main St, Dayton, OH 45402 | 2007-04-18 |
| Street Address |
660 S MAIN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043849284 | Stephanie Fair | Case Manager/Care Coordinator | 660 S Main St, Dayton, OH 45402-2708 | 2020-04-08 |
| 1902439870 | Kara Paige Schaefer | Counselor | 660 S Main St, Dayton, OH 45402-2708 | 2020-02-19 |
| 1598324964 | Alan Avila-john | Counselor | 660 S Main St, Dayton, OH 45402-2708 | 2019-06-10 |
| 1285107813 | Michael William Jaynes | Case Manager/Care Coordinator | 660 S Main St, Dayton, OH 45402-2708 | 2019-01-07 |
| 1417439605 | Michelle Leigh Leonard | Social Worker | 660 S Main St, Dayton, OH 45402-2708 | 2018-09-04 |
| 1750868626 | Elizabeth Trent Smith | Case Manager/Care Coordinator | 660 S Main St, Dayton, OH 45402-2708 | 2018-07-24 |
| 1639656879 | Ashley Mays | Counselor | 660 S Main St, Dayton, OH 45402-2708 | 2018-07-20 |
| 1104323278 | Penny Ross | Case Manager/Care Coordinator | 660 S Main St, Dayton, OH 45402-2708 | 2018-04-06 |
| 1356848410 | Kierstyn Aldei Crawford | Counselor | 660 S Main St, Dayton, OH 45402-2708 | 2018-04-06 |
| 1780055830 | Technology Resouce Center, Inc | Day Training, Developmentally Disabled Services | 660 S Main St, Dayton, OH 45402-2708 | 2015-10-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902314750 | Sierra D Hamilton | Student in an Organized Health Care Education/Training Program | 1222 S Patterson Blvd Ste 120, Dayton, OH 45402 | 2018-01-15 |
| 1043738693 | Andrea Enterline | Pharmacist | 230 North Main Street, Dayton, OH 45402 | 2017-09-05 |
| 1407377427 | Felicia Renee Barefield | Registered Nurse | 1222 Vernon Drive, Dayton, OH 45402 | 2017-06-29 |
| 1306377924 | Organization1 | Chronic Disease Hospital | 230 N Main Street, Dayton, OH 45402 | 2017-03-24 |
| 1801336144 | Affect Consulting, LLC | Social Worker | 131 N. Ludlow Street, 248, Dayton, OH 45402 | 2017-03-06 |
| 1669910261 | Latrisha Benson | Nurse's Aide | 326 Middle St., Dayton, OH 45402 | 2017-02-03 |
| 1417404849 | Five Rivers Health Center | Clinic/Center | 725 S. Ludlow St, Dayton, OH 45402 | 2016-09-01 |
| 1780130609 | Christine Hotz-steward | Social Worker | 660 S Main St Gesmv, Dayton, OH 45402 | 2016-08-31 |
| 1942655618 | Cindy Warner | Counselor | 444 West 3rd St, Dayton, OH 45402 | 2016-04-29 |
| 1700250248 | Womack Army Medical Center | Rehabilitation Unit | 215 Ice Ave, 100, Dayton, OH 45402 | 2015-11-20 |
| Find all providers in zip 45402 | ||||
| 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 |
|---|---|---|---|---|
| 1619525763 | Essential Reflections Counseling and Consultation, LLC | Community/Behavioral Health | 4130 Linden Ave Ste 320, Dayton, OH 45432-3034 | 2019-09-02 |
| 1447807524 | Marathon Recovery Services | Community/Behavioral Health | 25 Marathon Ave, Dayton, OH 45405-3613 | 2019-08-22 |
| 1205392677 | Victory Town Community Foundation | Community/Behavioral Health | 5200 Philadelphia Dr, Dayton, OH 45415-3608 | 2019-02-11 |
| 1861987364 | Daybreak, Inc | Community/Behavioral Health | 701 S Patterson Blvd, Dayton, OH 45402-2620 | 2018-06-27 |
| 1619461555 | Tryyun Yarbrough | Community/Behavioral Health | 166 Henry St, Dayton, OH 45403-2398 | 2018-06-14 |
| 1922591833 | Fernandis Wayne Jenkins | Community/Behavioral Health | 601 Xenia Ave, Dayton, OH 45410-1825 | 2018-06-14 |
| 1780178624 | Marilyn Yvonne Davis | Community/Behavioral Health | 166 Henry St Apt 2, Dayton, OH 45403-2343 | 2018-06-14 |
| 1295228195 | Aaren Nicole Scandrick | Community/Behavioral Health | 166 Henry St Apt 5, Dayton, OH 45403-2343 | 2018-06-14 |
| 1568998904 | Project Cure Inc | Community/Behavioral Health | 1800 N. James Mcgee Blvd, Dayton, OH 45417-9526 | 2017-05-04 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
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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.