MYRTLE BOYKIN-LIGHTON (NPI# 1265815591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265815591 |
| Entity Type | Individual |
| Full Name | MYRTLE BOYKIN-LIGHTON |
| Practice Address |
809 W Vine St Lima OH 45804-1054 |
| Practice Telephone | 4192224474 |
| Practice Fax Number | 4192227044 |
| Mailing Telephone | 4192224474 |
| Mailing Fax Number | 4192227044 |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2017-08-22 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1163 | OH | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OH | Behavioral Health & Social Service Providers | |
| N | 247ZC0005X |
Pathology Specialization: Clinical Laboratory Director, Non-physician |
OH | Technologists, Technicians & Other Technical Service Providers | |
| N | 405300000X | Prevention Professional | 0782 | OH | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 341741132 | 05 |
| Street Address |
809 W VINE ST |
| City | LIMA |
| State | OH |
| Zip Code | 45804-1054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457734782 | Jay Simpson | Counselor | 809 W Vine St, Lima, OH 45804-1054 | 2015-07-06 |
| 1659755940 | Rhonda Burden | Counselor | 809 W Vine St, Lima, OH 45804-1054 | 2015-07-16 |
| 1073997615 | Darnell Lamont Lee | Case Management | 809 W Vine St, Lima, OH 45804-1054 | 2015-07-14 |
| 1316320468 | Reginald James Coley | Counselor | 809 W Vine St, Lima, OH 45804-1054 | 2015-07-08 |
| 1952784936 | Joycelyn Burks | Counselor | 809 W Vine St, Lima, OH 45804-1054 | 2015-07-08 |
| 1679956734 | Lashawnda Boykin | Counselor | 809 W Vine St, Lima, OH 45804-1054 | 2015-07-07 |
| 1194108266 | Michele Dreher | Counselor | 809 W Vine St, Lima, OH 45804-1054 | 2015-07-07 |
| 1184007411 | Lucil'e Elayne Lowe | Counselor | 809 W Vine St, Lima, OH 45804-1054 | 2015-07-06 |
| 1427431766 | Tina L Boyd | Counselor | 809 W Vine St, Lima, OH 45804-1054 | 2015-07-06 |
| 1366825697 | Daisha Johnson | Counselor | 809 W Vine St, Lima, OH 45804-1054 | 2015-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134729817 | Luke Holliday | Pharmacist | Sams Club Pharmacy, 1150 Greely Chapel Rd, Lima, OH 45804 | 2020-10-30 |
| 1306482393 | Olympia Monik Johnson | Case Manager/Care Coordinator | 799 S. Main St, Lima, OH 45804 | 2019-11-25 |
| 1982260139 | Jenna Renee Warnecke | Speech-Language Pathologist | Shawnee Manor, 2535 Fort Amanda Rd, Lima, OH 45804 | 2019-05-14 |
| 1942728282 | Premier Care of Ohio, LLC. | Community/Behavioral Health | 2727 St. Johns Rd, Ste D, Lima, OH 45804 | 2017-09-07 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1134595416 | Rewa A Banks | Nurse Practitioner | 2895 Harding Hwy Ste C, Lima, OH 45804 | 2015-08-20 |
| 1295148195 | Adaptive Medical Marketing, Inc | Durable Medical Equipment & Medical Supplies | 1378 Bellefontaine Ave, Lima, OH 45804 | 2014-06-09 |
| 1265771869 | Laura B Hile | Nurse Practitioner | 1875 South Dixie Highway, Lima, OH 45804 | 2013-02-04 |
| 1184960593 | Jenna L Kimmel | Nurse Practitioner | 799 S. Main St., Lima, OH 45804 | 2012-12-13 |
| 1437398054 | Champaign Residential Services, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 2450 Mandolin Drive, Lima, OH 45804 | 2009-02-05 |
| Find all providers in zip 45804 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427664556 | Lorraine Denise Andrews | Counselor | 660 S Union St, Lima, OH 45804-1368 | 2020-09-23 |
| 1851909063 | Callie Jean Snyder | Counselor | 2350 N Cole St Apt D85, Lima, OH 45801-2327 | 2020-07-14 |
| 1407334030 | Tony Ryan Kuntz | Counselor | 543 W Elm St, Lima, OH 45801-4757 | 2018-08-06 |
| 1336634658 | Cedric E. Bradford | Counselor | 311 E Market St Ste 300, Lima, OH 45801-4565 | 2018-06-28 |
| 1053839720 | Candie Sue Dray | Counselor | 311 Market St., 311 Market St, Lima, OH 45801 | 2017-09-01 |
| 1093250078 | Gevette Love | Counselor | 311 E. Market St., Lima, OH 45804 | 2016-12-29 |
| 1821472259 | Karen Knabbs-andrews | Counselor | 2520 Penny Lee Dr, Lima, OH 45805-1096 | 2015-07-15 |
| 1194109884 | Danielle Angelieque Snyder | Counselor | 809 West Vine Street, Lima, OH 45802 | 2015-07-13 |
| 1457734782 | Jay Simpson | Counselor | 809 W Vine St, Lima, OH 45804-1054 | 2015-07-06 |
| 1508256090 | Kevin Jones I | Counselor | 1213 W Elm St, Lima, OH 45805-3236 | 2015-02-04 |
| Find all providers in LIMA | ||||
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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.