TINA LOUISE KING (NPI# 1477163699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477163699 |
| Entity Type | Individual |
| Full Name | TINA LOUISE KING |
| Credential | LCDCIII |
| Practice Address |
3793 Green Rd Beachwood OH 44122-5705 |
| Practice Telephone | 2162325302 |
| Mailing Telephone | 2162325302 |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2020-08-03 |
| Gender Code | F |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376019802 | Tina King | Specialist | 18 Nw 20th Ave Ste 103, Battle Ground, WA 98604-4175 | 2018-10-23 |
| 1144737081 | Tina King | Home Health | 845 Locust Ave, Zanesville, OH 43701-2413 | 2018-01-01 |
| 1164999439 | Tina Marie King | Behavior Technician | 3 S Main St, Milpitas, CA 95035 | 2018-10-25 |
| 1619413226 | Tina King | Advanced Practice Midwife | 345 10th Ave, Granite Falls, MN 56241-1442 | 2017-01-06 |
| 1235589383 | Tina King | Social Worker | 17657 Avilla Blvd, Lathrup Village, MI 48076-2732 | 2016-06-20 |
| 1104230416 | Tina King | Counselor | 535 Clinic Rd E, Box Elder, MT 59521-8826 | 2014-06-13 |
| 1184040677 | Tina King | Counselor | 117 State Route 35 Ste 2, Eatontown, NJ 07724-1886 | 2014-03-09 |
| 1013330109 | Tina King | Nurse Practitioner | 1573 Medical Park Cir, Tupelo, MS 38801-6580 | 2014-01-27 |
| 1306269717 | Tina Marie King | Social Worker | 75 Jones and Gifford Ave, Jamestown, NY 14701-2828 | 2014-01-22 |
| 1891085536 | Tina L. King | Rehabilitation Practitioner | 3320 W Adams Blvd, Los Angeles, CA 90018-1838 | 2011-04-14 |
| Street Address |
3793 GREEN RD |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-5705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659529519 | Samatha Ann Burns | Non-emergency Medical Transport (VAN) | 3793 Green Rd, Beachwood, OH 44122-5705 | 2008-09-04 |
| 1346883717 | Kc Center for Health and Wellness, LLC | Counselor | 3793 Green Rd, Beachwood, OH 44122-5705 | 2019-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083174 | Sophia Denise Moncrieffe-jordan | Nurse Practitioner | 23511 Chargin Blvd, Apt. E312, Beachwood, OH 44122 | 2020-11-03 |
| 1447864400 | Resilient Bodies LLC | Massage Therapist | 24300 Chagrin Blvd #312, Beachwood, OH 44122 | 2020-09-06 |
| 1215576087 | Hni Emergency Services of Ohio, LLC | Nurse Practitioner | 22501 Chagrin Blvd, Beachwood, OH 44122 | 2019-12-27 |
| 1013555648 | Barbara L Ekelman Phd Inc | Psychologist | 24100 Chagrin Blvd, Suite 385, Beachwood, OH 44122 | 2019-12-13 |
| 1417599770 | Janise Moore | Technician | 19600 Gladstone Rd, Warrensville Hts, OH 44122 | 2019-10-08 |
| 1598312704 | Nizar Andria | Student in an Organized Health Care Education/Training Program | Cedar Rd 27050, Apartment 515, Beachwood, OH 44122 | 2019-08-22 |
| 1437703998 | Malinda Ann Davis | Social Worker | 20600 Chagrin Blvd Suite 320, Shaker Heights, OH 44122 | 2019-08-01 |
| 1891265864 | Karlan Champagne | Case Management | 23215 Commerence Park, 306, Beachwood, OH 44122 | 2018-12-03 |
| 1952896565 | Donna Pinkney | Counselor | 20550 University Blvd Apt 206, Shaker Hts, OH 44122 | 2018-06-26 |
| 1255825857 | Elizabeth Anne Donathan | Registered Nurse | 4100 Warrensville Center Rd Ste 101, Warrensville Heights, OH 44122 | 2018-06-18 |
| Find all providers in zip 44122 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528552536 | Jameelah L Johnson Gaines | Counselor | 3637 Green Rd Unit G, Beachwood, OH 44122-5779 | 2018-06-22 |
| 1639534555 | Samantha Reid | Counselor | 24100 Chagrin Blvd Ste 330, Beachwood, OH 44122-5552 | 2015-12-18 |
| 1649594524 | Eilene Sharon Golub | Counselor | 23761 Bryden Rd, Beachwood, OH 44122-4026 | 2010-03-20 |
| 1073841847 | Iris Lynn Bailey | Counselor | 23611 Chagrin Blvd Ste 120, Beachwood, OH 44122-5540 | 2009-12-06 |
| 1265660955 | Christine Leotta-selby | Counselor | 625 Route 9, Beachwood, NJ 08722-4007 | 2009-07-01 |
| 1891709788 | Susan Marie Cyphers | Counselor | 21403 Chagrin Blvd, Suite 210, Beachwood, OH 44122-5322 | 2006-07-28 |
| 1689288060 | Von E Harris | Counselor | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2020-09-03 |
| 1407469232 | Michelle Marie Pfeil | Counselor | 25201 Chagrin Blvd Ste 390, Beachwood, OH 44122-5637 | 2020-08-31 |
| 1255941126 | Integrated Behavioral and Primary Care LLC | Counselor | 23900 Commerce Park, Beachwood, OH 44122-5822 | 2020-08-05 |
| 1356972376 | Derek Troy Decluett | Counselor | 4002 Warrensville Center Rd, Beachwood, OH 44122-6771 | 2020-01-29 |
| Find all providers in BEACHWOOD | ||||
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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.