CAMERON MATTHEWS (NPI# 1356958524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356958524 |
| Entity Type | Individual |
| Full Name | CAMERON MATTHEWS |
| Practice Address |
4300 Lynn Rd Ste 201 Ravenna OH 44266-7838 |
| Mailing Address |
570 Harvey St Kent OH 44240-2703 |
| Practice Telephone | 2162640008 |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2020-09-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922385038 | Cameron Raphael Matthews | Counselor | 2275 Arlington Dr, San Leandro, CA 94578-1132 | 2011-11-03 |
| Street Address |
4300 LYNN RD STE 201 |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266-7838 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891305157 | Ever Well Community Health | Community/Behavioral Health | 4300 Lynn Rd Ste 201, Ravenna, OH 44266-7838 | 2020-08-03 |
| 1275130262 | Tonda Hood | Community/Behavioral Health | 4300 Lynn Rd Ste 201, Ravenna, OH 44266-7838 | 2020-10-03 |
| 1033716154 | Ulonda Matthews | Community/Behavioral Health | 4300 Lynn Rd Ste 201, Ravenna, OH 44266-7838 | 2020-10-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| Find all providers in zip 44266 | ||||
| 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 |
|---|---|---|---|---|
| 1891305157 | Ever Well Community Health | Community/Behavioral Health | 4300 Lynn Rd Ste 201, Ravenna, OH 44266-7838 | 2020-08-03 |
| 1275130262 | Tonda Hood | Community/Behavioral Health | 4300 Lynn Rd Ste 201, Ravenna, OH 44266-7838 | 2020-10-03 |
| 1033716154 | Ulonda Matthews | Community/Behavioral Health | 4300 Lynn Rd Ste 201, Ravenna, OH 44266-7838 | 2020-10-01 |
| 1487295770 | Jami Lee Dampier | Community/Behavioral Health | 310 Bennett Ave, Ravenna, OH 44266-3211 | 2019-10-08 |
| 1194281220 | Heather Rebeck | Community/Behavioral Health | 310 Bennett Ave, Ravenna, OH 44266-3211 | 2019-02-13 |
| 1033673009 | Jennifer Lynn Carmichael | Community/Behavioral Health | 310 Bennett Ave, Ravenna, OH 44266-3211 | 2019-01-24 |
| 1053806679 | Williams Brown | Community/Behavioral Health | 310 Bennett Ave, Ravenna, OH 44266-3211 | 2018-06-26 |
| 1417447913 | Cody Allen Yoney | Community/Behavioral Health | 310 Bennett Ave, Ravenna, OH 44266-3211 | 2018-05-10 |
| 1386133213 | Celeste Trammel | Community/Behavioral Health | 310 Bennett Ave, Ravenna, OH 44266-3211 | 2018-05-07 |
| 1104314756 | Brennan Cooper | Community/Behavioral Health | 310 Bennett Ave, Ravenna, OH 44266-3211 | 2018-04-30 |
| Find all providers in RAVENNA | ||||
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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.