BRENDA HARRIS (NPI# 1386037554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386037554 |
| Entity Type | Individual |
| Full Name | BRENDA HARRIS |
| Credential | LICDC |
| Practice Address |
5234 W State Route 63 Lebanon OH 45036-8202 |
| Practice Telephone | 5139339304 |
| Mailing Telephone | 5139339304 |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
101163 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225649130 | Brenda Lee Harris | Technician | 12 Angler St, Buckhannon, WV 26201-3833 | 2020-08-13 |
| 1518316934 | Brenda Harris | Home Health Aide | 137 S John Hix St, Westland, MI 48186-3745 | 2016-06-07 |
| 1891159943 | Brenda Harris | Home Health Aide | 2225 Ilion Ave N, Minneapolis, MN 55411-1921 | 2016-04-05 |
| 1992052484 | Brenda Frances Harris | Speech-Language Pathologist | 1807 222nd Pl, Sauk Village, IL 60411-5047 | 2012-08-14 |
| 1124327218 | Brenda Taylor Harris | Social Worker | 500 Foothill Boulevard, Salt Lake City, UT 84148-0001 | 2011-03-15 |
| 1467589317 | Brenda Harris | Acupuncturist | 309 West Broadway Street, Decorah, IA 52101 | 2007-02-27 |
| 1801457486 | Brenda Marie Harris | Massage Therapist | 3307 Evergreen Way Ste 601, Washougal, WA 98671-2062 | 2019-06-25 |
| 1619535986 | Brenda Harris | Nurse Practitioner | 850 Country Manor Ln, Creve Coeur, MO 63141-6651 | 2019-06-03 |
| 1376947325 | Brenda Harris | Skilled Nursing Facility | 1204 Frye St, Athens, TN 37303-3052 | 2014-10-20 |
| 1689930125 | Brenda Harris | Case Manager/Care Coordinator | 44 Martin Ln, Ash Flat, AR 72513-9749 | 2012-04-10 |
| Street Address |
5234 W STATE ROUTE 63 |
| City | LEBANON |
| State | OH |
| Zip Code | 45036-8202 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881233740 | Joseph Gerard Bailey | Case Manager/Care Coordinator | 5234 W State Route 63, Lebanon, OH 45036-8202 | 2019-12-24 |
| 1225500978 | Demarco Robinson | Counselor | 5234 W State Route 63, Lebanon, OH 45036 | 2018-12-19 |
| 1336614270 | Sarah I Max | Counselor | 5234 W State Route 63, Lebanon, OH 45036-8202 | 2018-10-08 |
| 1790274975 | Sherry Ann Peterson | Counselor | 5234 W State Route 63, Lebanon, OH 45036-8202 | 2018-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013523059 | Sommer Mae Green | Counselor | 4216 Hunting Hawk Dr, Lebanon, OH 45036-7040 | 2020-09-16 |
| 1174169817 | Kacie Elizabeth Giffin | Counselor | 3883 Keever Pass, Lebanon, OH 45036-8837 | 2019-11-18 |
| 1184271264 | Jessica Stacy | Counselor | 15 N Corwin St, Lebanon, OH 45036-2001 | 2019-08-22 |
| 1063078855 | Southwest Regional Counseling Service Inc | Counselor | 1114 E Main St Ste 4, Lebanon, VA 24266-5014 | 2019-05-16 |
| 1508420357 | Ascension Therapy Services, LLC | Counselor | 1545 Shaker Run Blvd, Lebanon, OH 45036-4004 | 2019-04-26 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1063980779 | William Neil Caldwell | Counselor | 241 N Depot St, Lebanon, KY 40033-1419 | 2018-11-12 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1396232831 | Steven Michael Majdecki | Counselor | 860 Lynn St., Lebanon, MO 65536 | 2018-04-19 |
| 1720575616 | Nadine Alicia Cambridge | Counselor | 777 Columbus Ave Ste 7-d, Lebanon, OH 45036-1684 | 2018-04-17 |
| Find all providers in LEBANON | ||||
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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.