MR. MAX KING I (NPI# 1386194884) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386194884 |
| Entity Type | Individual |
| Full Name | MR. MAX KING I |
| Credential | CDCA |
| Practice Address |
912 Sycamore Line Apt.3d Sandusky OH 44870 |
| Mailing Address |
912 Sycamore Line Apt 3d Sandusky OH 44870-4052 |
| Practice Telephone | 4196269156 |
| Practice Fax Number | 4196210099 |
| Mailing Telephone | 4196269156 |
| Mailing Fax Number | 4196210099 |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-10-07 |
| 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) |
Behavioral Health & Social Service Providers |
| Street Address |
912 SYCAMORE LINE APT.3D |
| City | SANDUSKY |
| State | OH |
| Zip Code | 44870 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154094 | Patricia Ann Barton | Non-emergency Medical Transport (VAN) | 622 Clinton St, Sandusky, OH 44870 | 2020-11-02 |
| 1154802080 | Kathryn Nicole Fisher | Counselor | 1975 Hayes Avenue, Sandusky, OH 44870 | 2018-08-28 |
| 1245727551 | Frank Lynn Fox Jr. | Audiologist | 1522 E Perkins Ave, Sandusky, OH 44870 | 2018-04-23 |
| 1689187338 | Marc Christian Lowe | Case Manager/Care Coordinator | 206 Brandon Blvd, Sandusky, OH 44870 | 2017-11-15 |
| 1043740079 | Charlene Jeanette Adams | Counselor | 1518 Pearl Street, Sandusky, OH 44870 | 2017-06-13 |
| 1811349475 | Dannon C Smith | Nurse Practitioner | 266 E Perkins Aveneue, Sandusky, OH 44870 | 2016-07-07 |
| 1053774810 | Rachel Lynn Holbrook | Nurse Practitioner | 266 E Perkins Ave, Sandusky, OH 44870 | 2016-03-30 |
| 1700246295 | Caren Westbrooks | Home Health Aide | 168 W. Shoreway Drive, Sandusky, OH 44870 | 2016-02-26 |
| 1679962260 | Academy of Arts and Sciences | Local Education Agency (LEA) | 328 E. Monroe Street, Sandusky, OH 44870 | 2015-01-20 |
| 1487078358 | Christina Aileen Schoder | Occupational Therapist | 318 Columbus Ave., North Point Educational Service Center, Adams Building, Sandusky, OH 44870 | 2014-02-12 |
| Find all providers in zip 44870 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043740079 | Charlene Jeanette Adams | Counselor | 1518 Pearl Street, Sandusky, OH 44870 | 2017-06-13 |
| 1265758270 | Louis Guardiola, Jr. | Counselor | 1218 Cleveland Road Suite B, Sandusky, OH 44870 | 2010-04-15 |
| 1750562526 | Sonal Vyas-weit | Counselor | 1218 Cleveland Rd Ste B, Sandusky, OH 44870-4200 | 2007-11-20 |
| 1972532711 | Sanilac County | Counselor | 171 Dawson St, Sandusky, MI 48471-1062 | 2006-07-02 |
| 1316560352 | Kelly L Wilhelm | Counselor | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2020-05-26 |
| 1790325033 | Sheena P Lutz | Counselor | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2020-01-15 |
| 1073153243 | Christine Elizabeth Budka | Counselor | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2020-01-15 |
| 1457902173 | Lauren Pringle | Counselor | 1634 Sycamore Line, Sandusky, OH 44870-4132 | 2019-09-24 |
| 1154989580 | Alyssa Mcgue | Counselor | 1925 Hayes Ave, Sandusky, OH 44870-4737 | 2019-05-31 |
| 1437712544 | Noel Holbrook | Counselor | 1925 Hayes Ave, Sandusky, OH 44870 | 2019-04-16 |
| Find all providers in SANDUSKY | ||||
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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.