PAMELA SUE KUCKLICK (NPI# 1245637446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245637446 |
| Entity Type | Individual |
| Full Name | PAMELA SUE KUCKLICK |
| Credential | LPCC |
| Practice Address |
1530 Saint Clair Ave Ne Care Alliance Cleveland OH 44114-2004 |
| Mailing Address |
1433 W 38th St Cleveland OH 44113-2802 |
| Practice Telephone | 2167816228 |
| Mailing Telephone | 2169060940 |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2020-11-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
E0006764 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1730 W 25th St, Cleveland, OH 441133170 | 2163632122 | |
| 9500 Euclid Ave, Cleveland, OH 441950001 | 2163632122 |
| Street Address |
1530 SAINT CLAIR AVE NE CARE ALLIANCE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44114-2004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124025093 | Lisa Christine Navracruz | Family Medicine | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2005-07-06 |
| 1548813231 | Valarie Jean Gray | Family Medicine | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2019-07-22 |
| 1326555202 | Ashley Movens | Registered Nurse | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2018-01-02 |
| 1548776982 | Johnny Bragg | Registered Nurse | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2017-12-21 |
| 1417474263 | Frank Thomas Rosen | Nurse Practitioner | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2017-08-23 |
| 1962873414 | Sarah Novak | Social Worker | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2015-10-09 |
| 1437554680 | Care Alliance | Clinic/Center | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2014-10-30 |
| 1649532235 | Waithaka Nganga Njihia | Dentist | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2012-06-11 |
| 1245596154 | Kimberly A Foley | Nurse Practitioner | 1530 Saint Clair Ave Ne, Care Alliance Health Center, Cleveland, OH 44114-2004 | 2012-04-04 |
| 1427366970 | Christina Marie Harris Stehouwer | Physician Assistant | 1530 Saint Clair Ave Ne, Cleveland, OH 44114-2004 | 2010-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295366136 | The Great House of Care LLC | In Home Supportive Care | 1536 St Clair Ave Suite 35, Cleveland, OH 44114 | 2020-01-29 |
| 1386286011 | Asian Services In Action, Inc | Clinic/Center | 2999 Payne Ave, Ste 140, Cleveland, OH 44114 | 2019-10-15 |
| 1881236560 | Fivestars Onlinecare | Internal Medicine | 850 Euclid Aveneue, Suite 1022, Cleveland, OH 44114 | 2019-10-14 |
| 1619462181 | Alternativemd, LLC | Chiropractor | 1374 E 36th St Ste 2801d, Cleveland, OH 44114 | 2018-06-27 |
| 1093237802 | Cle Medical & Rehabilitation LLC | General Practice | 1701 E 12th Street, Wg 240, Cleveland, OH 44114 | 2017-07-13 |
| 1780110502 | Katherine Rice | Occupational Therapist | 1111 Superior Ave E, Suite 1800, Cleveland, OH 44114 | 2017-05-11 |
| 1508212747 | Nicole Eggert | Social Worker | 1744 Payne Ave., Cleveland, OH 44114 | 2016-05-06 |
| 1043678097 | Serenity Now Healthcare, LLC | Home Health | 1736 St. Clair Ave., Cleveland, OH 44114 | 2016-02-05 |
| 1518343334 | Lauren D'lee Dicks | Social Worker | 1740 Payne Ave, Suite 190, Cleveland, OH 44114 | 2015-08-04 |
| 1598153744 | Sophie Kosem | Registered Nurse | 1111superior Ave Ceveland, Cleveland, OH 44114 | 2014-12-22 |
| Find all providers in zip 44114 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726987 | Stacy Lynn Reynolds | Counselor | 112 Shade Crest Ln, Cleveland, TX 77327-4343 | 2020-10-05 |
| 1972100196 | April Ballard | Counselor | 14100 Cedar Rd Ste 290, Cleveland, OH 44121-3212 | 2020-10-01 |
| 1952924078 | Chana Rivka Hersh | Counselor | 3762 Bainbridge Rd, Cleveland, OH 44118-2244 | 2020-05-22 |
| 1033739792 | Cassandra Felice Franklin | Counselor | 6629 Worley Ave, Cleveland, OH 44105-3719 | 2020-04-23 |
| 1477189777 | Trauma Recovery and Counseling Services LLC | Counselor | 3886 Rocky River Dr, Cleveland, OH 44111-4119 | 2020-03-18 |
| 1023581758 | Edward Lee Varner | Counselor | 2292 Chambliss Ave Nw Ste C-2, Cleveland, TN 37311-3862 | 2019-01-04 |
| 1093217275 | Carmen Burrows | Counselor | 22001 Fairmount Blvd Bldg K, Cleveland, OH 44118-4819 | 2018-03-05 |
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1538679139 | Heidi Ables | Counselor | 1225 Wildwood Ave Se, Cleveland, TN 37311-6916 | 2017-10-09 |
| 1679092720 | Megan Davis | Counselor | 1115 Rowley Ave, Cleveland, OH 44109-1843 | 2017-09-10 |
| Find all providers in CLEVELAND | ||||
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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.