JAMEELAH L JOHNSON GAINES (NPI# 1528552536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528552536 |
| Entity Type | Individual |
| Full Name | JAMEELAH L JOHNSON GAINES |
| Credential | CDCA PHASE I |
| Practice Address |
3637 Green Rd Unit G Beachwood OH 44122-5779 |
| Practice Telephone | 2162208774 |
| Mailing Telephone | 2162208774 |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2019-10-22 |
| 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) |
171663 | OH | Behavioral Health & Social Service Providers |
| N | 251S00000X | Community/Behavioral Health | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3500 Carnegie Ave, Cleveland, OH 441152641 | 4402608300 |
| Street Address |
3637 GREEN RD UNIT G |
| City | BEACHWOOD |
| State | OH |
| Zip Code | 44122-5779 |
| 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 |
|---|---|---|---|---|
| 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 |
| 1477163699 | Tina Louise King | Counselor | 3793 Green Rd, Beachwood, OH 44122-5705 | 2020-08-03 |
| 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.