MR. PAUL BRUCE (NPI# 1275065021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275065021 |
| Entity Type | Individual |
| Full Name | MR. PAUL BRUCE |
| Credential | LICDC-CS, LPC |
| Practice Address |
841 Private Road 2913 Pedro OH 45659-8652 |
| Practice Telephone | 7404792839 |
| Mailing Telephone | 7404792839 |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
121042 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265996284 | Paul Benjamin Bruce | Counselor | 721 Fawcett Ave Ste 201, Tacoma, WA 98402-5502 | 2019-01-23 |
| 1720123698 | Paul R Bruce | Counselor | 1073 Oak St Se, Salem, OR 97301-4018 | 2007-02-20 |
| 1710936133 | Paul E Bruce | Dentist | 306 West Mcmillan Road, Marshfield, WI 54449 | 2006-05-10 |
| Street Address |
841 PRIVATE ROAD 2913 |
| City | PEDRO |
| State | OH |
| Zip Code | 45659-8652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740756097 | Matthew Salyers | Case Manager/Care Coordinator | 115 County Road 977, Pedro, OH 45659 | 2018-10-15 |
| 1023557923 | Michelle Taylor | Counselor | 115private Rd, Pedro, OH 45659 | 2017-02-13 |
| 1710426630 | Lisa Thompson | Case Manager/Care Coordinator | 115 Private Drive 977, Pedro, OH 45659 | 2017-02-13 |
| 1760925531 | Tracy Tufts | Case Manager/Care Coordinator | 115 Priv Rd 977, Pedro, OH 45659 | 2016-11-29 |
| 1376786699 | Rhonda Gail Pierce | Home Health Aide | 5153 County Road 16, Pedro, OH 45659 | 2009-04-16 |
| 1194993964 | T. Steven Cantley | Social Worker | 115 Private Rd. 977, Pedro, OH 45659 | 2008-02-14 |
| 1831301068 | Tammy Sue Bostic | Home Health Aide | 6975 County Road 4, Pedro, OH 45659 | 2007-05-03 |
| 1124240395 | Angela Jo April Brown Gipson | Home Health Aide | 6975 Country Road 4, Pedro, OH 45659 | 2007-05-03 |
| 1033230289 | Ena Inc. | Community/Behavioral Health | 115 Private Dr. 997, Pedro, OH 45659 | 2007-04-03 |
| 1679698898 | Mary Ann Howard | Home Health Aide | 8628 County Road 4, Pedro, OH 45659 | 2007-03-20 |
| Find all providers in zip 45659 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215426648 | Joshua L Noe | Counselor | 115 Private Road 977, Pedro, OH 45659-8608 | 2018-05-01 |
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| 1215537493 | Christine Moran | Counselor | 3092 W 155th St, Cleveland, OH 44111-1029 | 2020-10-28 |
| 1790384220 | Ron Lee Ward | Counselor | 950 E Alex Bell Rd Ste 100, Centerville, OH 45459-2721 | 2020-10-26 |
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1669070033 | Charismata Counseling LLC | Counselor | 2670 N Columbus St Ste 0, Lancaster, OH 43130-8408 | 2020-10-16 |
| 1467050427 | Sonia Buhrer Bowen | Counselor | 475 E Mound St, Columbus, OH 43215-5573 | 2020-10-13 |
| 1750989737 | Renea Yvonne Jagel | Counselor | 4711 Nebraska Ave, Huber Heights, OH 45424-6003 | 2020-10-13 |
| 1114524741 | Amanda Jo Sharp | Counselor | 500 Lehman Ave Ste 100, Bowling Green, OH 43402-3068 | 2020-10-06 |
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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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.