TASC OF NORTHWEST OHIO (NPI# 1548538143) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548538143 |
| Entity Type | Organization |
| Organization Name | TASC OF NORTHWEST OHIO |
| Other Organization Name | LUCAS TASC |
| Practice Address |
701 Jefferson Ave Suite 101 Toledo OH 43604-6955 |
| Practice Telephone | 4192429955 |
| Practice Fax Number | 4192428855 |
| Mailing Telephone | 4192429955 |
| Mailing Fax Number | 4192428855 |
| Enumeration Date | 2011-12-09 |
| Last Update Date | 2017-07-18 |
| Authorized Official Name | JOHNETTA MCCOLLOUGH (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4192429955 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 29-40 | 05 |
| Other Name | Type Code |
|---|---|
| Lucas TASC | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922171677 | Tasc of Northwest Ohio | Case Management | 701 Jefferson Ave Ste 101, Toledo, OH 43604-6956 | 2006-11-17 |
| Street Address |
701 JEFFERSON AVE SUITE 101 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43604-6955 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235126673 | Christine Mcvay | Social Worker | 701 Jefferson Ave, Suite 301, Toledo, OH 43604-6955 | 2005-09-30 |
| 1851929525 | Shannon Martineau | Case Manager/Care Coordinator | 701 Jefferson Ave, Toledo, OH 43604-6955 | 2020-03-30 |
| 1104382563 | Tiffany Depp | Counselor | 701 Jefferson Ave, Toledo, OH 43604-6955 | 2019-02-11 |
| 1922571116 | Greta Dean Harris | Social Worker | 701 Jefferson Ave, Toledo, OH 43604-6955 | 2019-01-10 |
| 1952816092 | Angela Boday | Case Manager/Care Coordinator | 701 Jefferson Ave, Toledo, OH 43604-6955 | 2017-12-12 |
| 1508382284 | Angela Marie Willis | Case Manager/Care Coordinator | 701 Jefferson Ave, Toledo, OH 43604-6955 | 2017-08-15 |
| 1528583309 | Cara Eredics | Social Worker | 701 Jefferson Ave, Toledo, OH 43604-6955 | 2017-08-14 |
| 1366978280 | Sheryle Kay Schmidt | Licensed Practical Nurse | 701 Jefferson Ave, Toledo, OH 43604-6955 | 2017-05-11 |
| 1982131710 | Clare Conrad | Counselor | 701 Jefferson Ave, Suite 101, Toledo, OH 43604-6955 | 2017-05-11 |
| 1003342817 | Judith Ramirez | Social Worker | 701 Jefferson Ave, Toledo, OH 43604-6955 | 2017-05-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879590 | Kaushal B Jani | Student in an Organized Health Care Education/Training Program | Saint Vincent Medical Center, 2200 Jefferson Ave, Toledo, OH 43604 | 2020-04-08 |
| 1548807316 | Jennifer Marie Bismack | Peer Specialist | 142 23rd St, Suite 911, Toledo, OH 43604 | 2019-11-29 |
| 1841849064 | Keith Allen Vore | Student in an Organized Health Care Education/Training Program | 1117 Jefferson #214, Toledo, OH 43604 | 2019-09-10 |
| 1740846765 | Mohammad Shahrukh Tanweer | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent Medical Center, 2200 Jefferson Avenue, Toledo, OH 43604 | 2019-05-15 |
| 1740846229 | Sami Al-rahman Syed | Student in an Organized Health Care Education/Training Program | Mercy Health - St. Vincent, 2200 Jefferson Ave., Toledo, OH 43604 | 2019-05-10 |
| 1306402870 | Poojitha Kolluri | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Avenue - Mercy Family Physician, Toledo, OH 43604 | 2019-05-10 |
| 1407375090 | Keyana Renee Galloway | Social Worker | 500 Madison Ave Ste 300, Toledo, OH 43604 | 2017-09-14 |
| 1467979302 | Courtney Lorraine Wilson | Physical Therapy Assistant | 1609 N. Summit St, Toledo, OH 43604 | 2017-08-22 |
| 1811426208 | Rosamaria Sanchez | Counselor | 701 Jefferson Ave Suite 101, Toledo, OH 43604 | 2017-06-08 |
| 1306373014 | Salwa Beydoun | Social Worker | 701 Jefferson, Toledo, OH 43604 | 2017-05-12 |
| Find all providers in zip 43604 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649878885 | Transformative Solutions LLC | Community/Behavioral Health | 3454 Oak Alley Ct Ste 404, Toledo, OH 43606-1355 | 2020-10-10 |
| 1184243727 | Young Men and Women for Change | Community/Behavioral Health | 2467 1/2 Nebraska Ave, Toledo, OH 43607-3531 | 2020-04-14 |
| 1962038844 | Lance Larkin | Community/Behavioral Health | 5151 Monroe St Ste 204, Toledo, OH 43623-3467 | 2020-03-23 |
| 1013543040 | Revitalized Behavioral Healthcare, LLC | Community/Behavioral Health | 5577 Airport Hwy Ste 102, Toledo, OH 43615-7364 | 2020-03-22 |
| 1043846165 | Sound Mind Behavioral Wellness, LLC | Community/Behavioral Health | 5726 Southwyck Blvd Ste 200-b, Toledo, OH 43614-1559 | 2020-03-20 |
| 1982259693 | Family Guidance Centers of Ohio, Inc. | Community/Behavioral Health | 4354 Monroe St, Toledo, OH 43606-1959 | 2019-08-08 |
| 1285199521 | Positive Living Solutions, LLC | Community/Behavioral Health | 1011 Monroe St, Toledo, OH 43604-5912 | 2019-01-31 |
| 1811468085 | Sasia N King | Community/Behavioral Health | 830 N. Summit Suite #2, Toledo, OH 43604-1884 | 2018-12-16 |
| 1669943981 | St. Paul's Community Center | Community/Behavioral Health | 230 13th St, Toledo, OH 43604-5443 | 2018-12-14 |
| 1386126456 | Changing Lives | Community/Behavioral Health | 316 N Michigan St Ste 435, Toledo, OH 43604-5666 | 2018-09-05 |
| Find all providers in TOLEDO | ||||
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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.