SPRING IDALE HENRY (NPI# 1487254231) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487254231 |
| Entity Type | Individual |
| Full Name | SPRING IDALE HENRY |
| Credential | CDCA |
| Practice Address |
418 Colegate Dr Marietta OH 45750-9549 |
| Practice Telephone | 7403748730 |
| Mailing Telephone | 7403748730 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 405300000X | Prevention Professional | 174649 | OH | Other Service Providers |
| Street Address |
418 COLEGATE DR |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-9549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154398493 | Gary Jackson Tucker Jr. | Family Medicine | 418 Colegate Dr, Marietta, OH 45750-9549 | 2006-03-07 |
| 1235744038 | Emilee Ann Schwendeman | Technician, Other | 418 Colegate Dr, Marietta, OH 45750-9549 | 2020-09-09 |
| 1043836059 | Kelly Annelle Workman | Peer Specialist | 418 Colegate Dr, Marietta, OH 45750-9549 | 2020-06-25 |
| 1548829864 | Kristi Jo Kirk | Counselor | 418 Colegate Dr, Marietta, OH 45750-9549 | 2019-06-11 |
| 1063970903 | Julie Amber Bates | Licensed Practical Nurse | 418 Colegate Dr, Marietta, OH 45750-9549 | 2019-03-11 |
| 1922582469 | Michelle Renae Dennis | Peer Specialist | 418 Colegate Dr, Marietta, OH 45750-9549 | 2018-09-20 |
| 1710461488 | Krishna Danae Black | Case Manager/Care Coordinator | 418 Colegate Dr, Marietta, OH 45750-9549 | 2018-09-19 |
| 1154839884 | Nicholas Barton | Counselor | 418 Colegate Dr, Marietta, OH 45750-9549 | 2018-01-16 |
| 1689199473 | Carla Archer | Case Manager/Care Coordinator | 418 Colegate Dr, Marietta, OH 45750 | 2017-08-14 |
| 1578001855 | Lacey Wilson | Licensed Practical Nurse | 418 Colegate Dr, Marietta, OH 45750-9549 | 2017-02-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 405300000X |
| Grouping | Other Service Providers |
| Classification | Prevention Professional |
| Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
| Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831798560 | Plunketts Pest Control-varment Guard | Prevention Professional | 1001 Checkrein Ave, Columbus, OH 43229-1106 | 2020-10-23 |
| 1043822265 | Lisa E Williams | Prevention Professional | 1845 Fairfax Rd, Toledo, OH 43613-5211 | 2020-08-19 |
| 1831700996 | Deanna Goehring | Prevention Professional | 9715 Millers Fork Rd, Lewisburg, OH 45338-8974 | 2020-08-12 |
| 1306457528 | Single Parents Rock | Prevention Professional | 130 W Wenger Rd Ste D, Englewood, OH 45322-2760 | 2020-08-11 |
| 1770117954 | Marlin L Dillard | Prevention Professional | 5103 Bellefontaine Rd, Dayton, OH 45424-4163 | 2020-02-27 |
| 1164077293 | Nonya Stalnaker | Prevention Professional | 115 Spink St, Wooster, OH 44691-3651 | 2019-08-06 |
| 1619454238 | Brenda Heidinger | Prevention Professional | 222 W Federal St Ste 201, Youngstown, OH 44503-1206 | 2018-07-26 |
| 1508374950 | Traci Mason | Prevention Professional | 11671 Julie Dr Nw, Baltimore, OH 43105-9306 | 2018-01-19 |
| 1356850275 | Rebecca Ruth Jones | Prevention Professional | 1908 Seymour Ave, Cincinnati, OH 45237-4007 | 2017-09-22 |
| 1508384421 | Jamie Deakins | Prevention Professional | 8445 Munson Rd., Mentor, OH 44006 | 2017-08-30 |
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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.