BERNICE PETTY (NPI# 1396254652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396254652 |
Entity Type | Individual |
Full Name | BERNICE PETTY |
Other Name | MRS. BERNICE FORD |
Practice Address |
6001 Woodland Ave Cleveland OH 44104-2762 |
Practice Telephone | 2164312018 |
Practice Fax Number | 2162780764 |
Mailing Telephone | 2164312018 |
Mailing Fax Number | 2162780764 |
Enumeration Date | 2017-09-29 |
Last Update Date | 2017-09-29 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
163462 | OH | Behavioral Health & Social Service Providers |
Street Address |
6001 WOODLAND AVE |
City | CLEVELAND |
State | OH |
Zip Code | 44104-2762 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396844684 | James R. Brown | Internal Medicine | 6001 Woodland Ave, Cleveland, OH 44104-2762 | 2006-09-22 |
1104440916 | Lori Jean Yuan | Counselor | 6001 Woodland Ave, Cleveland, OH 44104-2762 | 2020-06-08 |
1427616457 | Jennifer M. Mcknight | Counselor | 6001 Woodland Ave, Cleveland, OH 44104-2762 | 2019-06-04 |
1164989315 | Briana Vales | Counselor | 6001 Woodland Ave, Cleveland, OH 44104-2762 | 2019-02-25 |
1801352166 | Willie Wade | Counselor | 6001 Woodland Ave, Cleveland, OH 44104-2762 | 2019-02-12 |
1821553900 | Artwan Green | Counselor | 6001 Woodland Ave, Cleveland, OH 44104-2762 | 2019-02-04 |
1164935516 | Joseph Thomas Gaston Sr. | Counselor | 6001 Woodland Ave, Cleveland, OH 44104-2762 | 2017-11-08 |
1508375866 | Rosalind Michelle Mcwilliams | Counselor | 6001 Woodland Ave, Cleveland, OH 44104-2762 | 2017-09-29 |
1336658806 | Mara Jacqueline Sankin-reese | Counselor | 6001 Woodland Ave, Cleveland, OH 44104-2775 | 2017-09-27 |
1326598665 | Colleen Warnock | Counselor | 6001 Woodland Ave, Suite 703, Cleveland, OH 44104-2762 | 2016-10-11 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619510419 | Gwen Burtin | Technician | 9908 Kennedy Ave, Cleveland, OH 44104 | 2019-10-24 |
1215422001 | Julia Shneyderman | Dentist | 11202 Shaker Blvd Ste 136, Cleveland, OH 44104 | 2018-06-25 |
1477058527 | Kwananda A Plato | Technician | 9717 Elwell Ave., Cleveland, OH 44104 | 2018-03-29 |
1073035887 | Tia Marie Heard | Home Health | 4591 Quincy Avenue Building Q, Cleveland, OH 44104 | 2017-07-13 |
1407306608 | Shelby Mcquiller | Social Worker | 2632 E 115th St, Cleveland, OH 44104 | 2016-10-11 |
1568852390 | Cleveland Arts & Social Sciences Academy | Psychologist | 10701 Shaker Blvd, Cleveland, OH 44104 | 2015-02-02 |
1164827705 | Eboni Danyale Jordan | Licensed Practical Nurse | 3143 East 99th, Cleveland, OH 44104 | 2014-10-24 |
1902224157 | Woodland Academy, Inc. | Local Education Agency (LEA) | 10615 Lamontier Blvd., Cleveland, OH 44104 | 2014-04-04 |
1467793778 | Teresa M Evans-guyton | Nurse Practitioner | 11201 Shaker Blvd Ste 240, Cleveland, OH 44104 | 2013-03-12 |
1023387057 | Roslyn Jeanette Carter | Home Health Aide | 9423 Ramona Blvd, Cleveland, OH 44104 | 2011-12-20 |
Find all providers in zip 44104 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134726987 | Stacy Lynn Reynolds | Counselor | 112 Shade Crest Ln, Cleveland, TX 77327-4343 | 2020-10-05 |
1972100196 | April Ballard | Counselor | 14100 Cedar Rd Ste 290, Cleveland, OH 44121-3212 | 2020-10-01 |
1952924078 | Chana Rivka Hersh | Counselor | 3762 Bainbridge Rd, Cleveland, OH 44118-2244 | 2020-05-22 |
1033739792 | Cassandra Felice Franklin | Counselor | 6629 Worley Ave, Cleveland, OH 44105-3719 | 2020-04-23 |
1477189777 | Trauma Recovery and Counseling Services LLC | Counselor | 3886 Rocky River Dr, Cleveland, OH 44111-4119 | 2020-03-18 |
1023581758 | Edward Lee Varner | Counselor | 2292 Chambliss Ave Nw Ste C-2, Cleveland, TN 37311-3862 | 2019-01-04 |
1093217275 | Carmen Burrows | Counselor | 22001 Fairmount Blvd Bldg K, Cleveland, OH 44118-4819 | 2018-03-05 |
1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
1538679139 | Heidi Ables | Counselor | 1225 Wildwood Ave Se, Cleveland, TN 37311-6916 | 2017-10-09 |
1679092720 | Megan Davis | Counselor | 1115 Rowley Ave, Cleveland, OH 44109-1843 | 2017-09-10 |
Find all providers in CLEVELAND |
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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.