JENNIFER CRETER (NPI# 1477193043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477193043 |
| Entity Type | Individual |
| Full Name | JENNIFER CRETER |
| Credential | CDCA |
| Practice Address |
1660 Nave Rd Se Massillon OH 44646-9604 |
| Mailing Address |
625 Cleveland Ave Nw Canton OH 44702-1805 |
| Practice Telephone | 3308379411 |
| Practice Fax Number | 3308374603 |
| Mailing Telephone | 3304550374 |
| Mailing Fax Number | 3304536716 |
| Enumeration Date | 2020-01-13 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA171491 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174189567 | Jennifer Marie Creter | Licensed Practical Nurse | 14 Mansfield Ln S, East Northport, NY 11731-4135 | 2019-05-12 |
| Street Address |
1660 NAVE RD SE |
| City | MASSILLON |
| State | OH |
| Zip Code | 44646-9604 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194717454 | John Charles Andreozzi | Psychiatry & Neurology | 1660 Nave Rd Se, Massillon, OH 44646 | 2005-08-22 |
| 1053933713 | Brittney A Egan | Counselor | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2020-05-15 |
| 1639705023 | Natalie A D'amato | Counselor | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2020-03-17 |
| 1639717861 | Joshua Dallas Lovejoy | Registered Nurse | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2019-12-18 |
| 1811539620 | Denver Scott Moore | Counselor | 1660 Nave Rd Se, Massillon, OH 44646 | 2019-10-14 |
| 1679124960 | Robert R Lane IIi | Counselor | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2019-09-27 |
| 1235786724 | Toni Lynn Howard | Registered Nurse | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2019-08-20 |
| 1356994685 | Patricia Jn Davis | Registered Nurse | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2019-07-16 |
| 1396305090 | Deborah S Swinehart | Registered Nurse | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2019-06-17 |
| 1215499736 | Kimberly Kay Robertson | Registered Nurse | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2019-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063027498 | Tiarra Q Mccole | Home Health Aide | 879 Walnut Rd Se, Massillon, OH 44646 | 2020-09-11 |
| 1083268536 | Jenna Peters | Speech-Language Pathologist | 8036 Daytona St Nw, Massillan, OH 44646 | 2019-08-01 |
| 1063998342 | Erin Lindsay Baters | Nurse Practitioner | 2037 Wales Rd, Suite #110, Massillon, OH 44646 | 2018-07-19 |
| 1275036261 | Sarah Nichols | Licensed Practical Nurse | 1428 David Dodson Drive, Massillon, OH 44646 | 2018-03-15 |
| 1295233054 | Ohio Treatment Center, LLC | Clinic/Center | 2520 Wales Ave. Nw, Suite 100, Massillon, OH 44646 | 2018-01-26 |
| 1861901019 | Mrs Transport Services LLC | Non-emergency Medical Transport (VAN) | 2514 List St Nw, Massillon, OH 44646 | 2017-09-20 |
| 1386162899 | Brandy Marie Townsend | Home Health | 306 2nd St Sw, Massillon, OH 44646 | 2017-09-05 |
| 1861875007 | Josiah Wagler | Student in an Organized Health Care Education/Training Program | 875 Eigth Street Ne, Massillon, OH 44646 | 2015-07-07 |
| 1205215647 | Michelle Avril Burch | Psychologist | 1 Paul E. Brown Drive, Se, Massillon, OH 44646 | 2015-05-19 |
| 1275940371 | Anthony Tedesco | Orthopaedic Surgery | 875 8th St. Ne, Massillon, OH 44646 | 2014-07-21 |
| Find all providers in zip 44646 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366421844 | John E Zuzik | Counselor | 1680 Nave Rd Se, Massillon, OH 44646 | 2006-01-12 |
| 1649259136 | Jill Thewlis | Counselor | 876 Amherst Rd Ne, Massillon, OH 44646-8528 | 2006-01-12 |
| 1235736042 | Michele L Carpenter | Counselor | 3545 Lincoln Way E, Massillon, OH 44646-8624 | 2020-10-05 |
| 1376157115 | Paige Mckinney | Counselor | 3545 Lincoln Way E Ste B, Massillon, OH 44646-8624 | 2020-08-31 |
| 1841829041 | Breanna Lynn Beyler | Counselor | 1680 Nave Rd Se, Massillon, OH 44646-9604 | 2020-04-08 |
| 1639705023 | Natalie A D'amato | Counselor | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2020-03-17 |
| 1578106332 | Jeffrey F Chufar | Counselor | 1680 Nave Rd Se, Massillon, OH 44646-9604 | 2019-10-24 |
| 1811539620 | Denver Scott Moore | Counselor | 1660 Nave Rd Se, Massillon, OH 44646 | 2019-10-14 |
| 1437700721 | Jayme T Randle Sr. | Counselor | 1680 Nave Rd Se, Massillon, OH 44646-9604 | 2019-09-27 |
| 1679124960 | Robert R Lane IIi | Counselor | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2019-09-27 |
| Find all providers in MASSILLON | ||||
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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.