MENTAL HEALTH ASSOCIATION OF LICKING COUNTY INC. (NPI# 1437374295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437374295 |
Entity Type | Organization |
Organization Name | MENTAL HEALTH ASSOCIATION OF LICKING COUNTY INC. |
Other Organization Name | MENTAL HEALTH AMERICA OF LICKING COUNTY |
Practice Address |
65 Messimer Dr Newark OH 43055-1874 |
Practice Telephone | 7405221341 |
Practice Fax Number | 7405224464 |
Mailing Telephone | 7405221341 |
Mailing Fax Number | 7405224464 |
Enumeration Date | 2007-04-16 |
Last Update Date | 2020-08-22 |
Authorized Official Name | MS. PADDY KUTZ (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 7407880302 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251300000X | Local Education Agency (LEA) | NA | OH | Agencies |
Other Name | Type Code |
---|---|
Mental Health America of Licking County | Doing Business As Name - Organization |
Street Address |
65 MESSIMER DR |
City | NEWARK |
State | OH |
Zip Code | 43055-1874 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679571913 | Phillip Borders | Psychiatry & Neurology | 65 Messimer Dr, Newark, OH 43055-1874 | 2005-07-11 |
1275132557 | Ashley Thompson | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-10-19 |
1699382093 | Sydney E Marvin | Counselor | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-09-29 |
1558976373 | Taylor M Wright | Social Worker | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-09-09 |
1659981892 | Anne M Underwood | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-08-03 |
1619586195 | Adelle Keller | Nurse Practitioner | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-07-30 |
1740898543 | Kaitlyn Nicole Merringer | Social Worker | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-07-17 |
1649896564 | James D Armour | Counselor | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-06-17 |
1538792759 | Laurie Gray | Licensed Practical Nurse | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-02-17 |
1851923304 | Kelly Schuhurt | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-02-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
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Taxonomy Code | 251300000X |
Grouping | Agencies |
Classification | Local Education Agency (LEA) |
The term local education agency means a public board of education or other public authority legally constituted within a State to either provide administrative control or direction of, or perform a service function for public schools serving individuals ages 0 - 21 in a state, city, county, township, school district, or other political subdivision including a combination of school districts or counties recognized in a State as an administrative agency for its public schools. An LEA may provide, or employ professional who provide, services to children included in the Individuals with Disabilities Education Act (IDEA), such services may include, but are not limited to, such medical services as physical, occupational, and speech therapy. |
Notes: Source: Portions of IDEA Regulations Part B (34 CFR Part 300.18, Assistance to States for the Education of Children with Disabilities) [1/1/2006: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972076404 | Maria L. Varisco-rogers Charter School | Local Education Agency (LEA) | 243 Woodside Ave, Newark, NJ 07104-3113 | 2019-01-08 |
1043724149 | University Heights Charter School | Local Education Agency (LEA) | 74 Hartford St, Newark, NJ 07103-2832 | 2017-11-28 |
1881120707 | Kipp Cooper Norcross, A New Jersey Nonprofit Corporation | Local Education Agency (LEA) | 60 Park Pl Ste 802, Newark, NJ 07102-5508 | 2017-05-11 |
1902339179 | People's Preparatory Charter School | Local Education Agency (LEA) | 321 Bergen St, Newark, NJ 07103-2639 | 2017-04-05 |
1306394762 | Newark Prep Charter School | Local Education Agency (LEA) | 570 Broad St, Newark, NJ 07102-4532 | 2016-09-14 |
1477962801 | Marion P. Thomas Charter High School | Local Education Agency (LEA) | 88-108 Shipman St, Newark, NJ 07102-1212 | 2014-08-11 |
1174955736 | Las Americas Aspira Academy | Local Education Agency (LEA) | 326 Ruthar Dr, Newark, DE 19711-8017 | 2013-08-06 |
1629312970 | North Star Academy | Local Education Agency (LEA) | 10 Washington Pl, Newark, NJ 07102-3106 | 2012-11-26 |
1760787089 | Par Excellence Academy | Local Education Agency (LEA) | 96 Maholm St, Newark, OH 43055-3906 | 2011-01-18 |
1548422322 | Newark Charter School | Local Education Agency (LEA) | 2001 Patriot Way, Newark, DE 19711-1809 | 2008-07-02 |
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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.