MADELINE SLACK (NPI# 1457860850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457860850 |
Entity Type | Individual |
Full Name | MADELINE SLACK |
Credential | LPC |
Practice Address |
4660 Roberts Rd Columbus OH 43228-9671 |
Mailing Address |
446 Morgan St Cincinnati OH 45206-2348 |
Practice Telephone | 5138347063 |
Practice Fax Number | 5138731567 |
Mailing Telephone | 5138347063 |
Mailing Fax Number | 5138731567 |
Enumeration Date | 2017-09-28 |
Last Update Date | 2019-04-29 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
C1700685 | OH | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0266106 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
46 Federal Ave Nw Ste 1, Massillon, OH 446475401 | 3308330234 | 3308377705 |
Street Address |
4660 ROBERTS RD |
City | COLUMBUS |
State | OH |
Zip Code | 43228-9671 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861524795 | Occupational & Preventive Medicine Inc. | Preventive Medicine | 4660 Roberts Rd, Columbus, OH 43228-9671 | 2007-03-09 |
1417562489 | Kasey Arrowood | Social Worker | 4660 Roberts Rd, Columbus, OH 43228-9671 | 2020-09-15 |
1851927008 | Lisa K Yoder | Registered Nurse | 4660 Roberts Rd, Columbus, OH 43228-9671 | 2020-03-19 |
1588290258 | Dawna Christine Bates | Registered Nurse | 4660 Roberts Rd, Columbus, OH 43228-9671 | 2020-03-13 |
1720642739 | Evan Rooney | Counselor | 4660 Roberts Rd, Columbus, OH 43228-9671 | 2019-04-24 |
1760941173 | Clifford A Pearcy | Registered Nurse | 4660 Roberts Rd, Columbus, OH 43228-9671 | 2019-03-15 |
1386110054 | Anna Blevins | Registered Nurse | 4660 Roberts Rd, Columbus, OH 43228-9671 | 2018-10-19 |
1548767007 | Charles Snider | Counselor | 4660 Roberts Rd, Columbus, OH 43228 | 2018-04-11 |
1134628266 | Meghan Casey | Counselor | 4660 Roberts Rd, Columbus, OH 43228-9671 | 2018-02-04 |
1003320938 | Quanice Locke | Counselor | 4660 Roberts Rd, Columbus, OH 43228-9671 | 2017-11-30 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629694229 | The Laurels of West Columbus, LLC | Skilled Nursing Facility | 441 Norton Rd, Columbus, OH 43228 | 2020-06-19 |
1538788146 | Colin Rogers | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-04-14 |
1093343899 | Cameron Alvin Gachett | Student in an Organized Health Care Education/Training Program | Ohiohealth Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2020-03-29 |
1407483431 | Zachary Werner | Student in an Organized Health Care Education/Training Program | Ohio Health Doctors Hospital, 5100 West Broad Street, Columbus, OH 43228 | 2020-03-27 |
1831684232 | Medcare Clinic LLC | Clinic/Center | 4125 W Broad St, Columbus, OH 43228 | 2018-06-27 |
1952893950 | Midland Medical Group, LLC | Family Medicine | 1000 Georgesville Rd, Columbus, OH 43228 | 2018-06-05 |
1619478336 | Charles Norris Fennie | Student in an Organized Health Care Education/Training Program | Doctors Hospital Community Medicine Clinic, 50 Old Village Road, Columbus, OH 43228 | 2018-02-27 |
1902304389 | Icare Health & Wellness Medical Center, LLC | Counselor | 5152 W.broad St, Suite A, Columbus, OH 43228 | 2018-01-31 |
1104334523 | Inner Health Chiropractic, Inc | Chiropractor | 5125 West Broad Street, Inner Health Chiropractic, Columbus, OH 43228 | 2018-01-19 |
1205363777 | Optum Infusion Services 500, Inc. | Durable Medical Equipment & Medical Supplies | 2182 Dividend Drive, Columbus, OH 43228 | 2017-05-16 |
Find all providers in zip 43228 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609481233 | Dupe Esther Oluwamuyide | Counselor | 1558 Sargas St, Columbus, OH 43240-6071 | 2020-09-10 |
1346851086 | Jeannine Marie Lumpkin | Counselor | 5065 Pond View Dr, Columbus, GA 31907-1887 | 2020-08-16 |
1174141543 | Emanuel G Werner | Counselor | 4033 Legend, Columbus, OH 43230-8501 | 2020-07-11 |
1285256552 | Lauren Elizabeth Singleton | Counselor | 5632 Winvelly Dr, Columbus, GA 31909-4777 | 2020-05-10 |
1265053268 | Bradley Unruh | Counselor | 1290 Old Henderson Rd, Columbus, OH 43220-3608 | 2020-04-30 |
1073153904 | Overbrook Counseling LLC | Counselor | 1161 Bethel Rd Ofc 5, Columbus, OH 43220-2773 | 2020-01-08 |
1871137497 | Tammy Dionne Person | Counselor | 6718 Bridge Way, Columbus, GA 31904-1370 | 2019-11-06 |
1740836659 | Allen Huff | Counselor | 223 Mayfair Blvd Apt D, Columbus, OH 43213-2212 | 2019-08-15 |
1780236224 | Emilie Rae Rogers | Counselor | 94 Northwoods Blvd Ste B2, Columbus, OH 43235-4721 | 2019-07-15 |
1649834441 | Stacey R Young | Counselor | 1620 E Broad St Ste 103, Columbus, OH 43203-2012 | 2019-04-26 |
Find all providers in COLUMBUS |
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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.