KATHLEEN EUSTACE (NPI# 1548753734) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548753734 |
| Entity Type | Individual |
| Full Name | KATHLEEN EUSTACE |
| Credential | LPC |
| Practice Address |
11401 Lorain Ave Cleveland OH 44111 |
| Mailing Address |
11401 Lorain Ave Cleveland OH 44111-5428 |
| Practice Telephone | 2164164277 |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2018-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C1800916 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3500 Carnegie Ave, Cleveland, OH 441152641 | 4402608300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780976126 | Kathleen A Eustace | Dietitian, Registered | 5323 Harry Hines Blvd, Dallas, TX 75390 | 2011-05-04 |
| 1730372111 | Kathleen A Eustace | Occupational Therapy Assistant | 5901 Broken Sound Pkwy, Boca Raton, FL 33487-2773 | 2007-08-20 |
| Street Address |
11401 LORAIN AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629121025 | Cleveland Christian Home | Community/Behavioral Health | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2007-01-19 |
| 1366937443 | Rosa White | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5476 | 2018-06-29 |
| 1811489495 | Charles John Tuttle I | Counselor | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2018-05-31 |
| 1043709256 | Marvin Paul | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2018-05-02 |
| 1164924163 | Samuel Vacha | Counselor | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2018-03-06 |
| 1740795285 | Kathy Joy Jackson | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2017-12-06 |
| 1528572120 | Tandalaya Howard | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2017-11-20 |
| 1992217194 | Patricia Ann Lowman | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2017-10-27 |
| 1063930303 | Dianette Gilbert | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2017-09-07 |
| 1710405154 | Gary Francis Underwood | Social Worker | 11401 Lorain Ave, Cleveland, OH 44111-5428 | 2017-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265098453 | Remeka D Mason | Nurse's Aide | 3770 W 130th St, Cleveland, OH 44111 | 2019-05-14 |
| 1447712500 | L.i.s. Transportation LLC | Secured Medical Transport (VAN) | 15720 Lorain Avenue, Cleveland, OH 44111 | 2019-04-05 |
| 1619446465 | Donald Lewis Jr. | Case Manager/Care Coordinator | 3430 Warren Rd, Apt 25, Cleveland, OH 44111 | 2018-11-21 |
| 1487138335 | Dominique Sharita Dent | Case Manager/Care Coordinator | 12104 Marne Ave., Cleveland, OH 44111 | 2018-09-17 |
| 1629518956 | Daniela Alejandra Mchugh-carias | Specialist/Technologist | 17215 Bradgate Ave, Cleveland, OH 44111 | 2017-03-06 |
| 1568831535 | Marlene Fernandez | Registered Nurse | 3153 West 105, Cleveland, OH 44111 | 2015-09-21 |
| 1225418957 | Subanandhini Subramaniam Parameshwari | Internal Medicine | 18101 Lorain Avenue, Fairview Hospital, Cleveland, OH 44111 | 2015-06-08 |
| 1659785798 | Desiree D Reid | Home Health Aide | 3715 Highland Road, Cleveland, OH 44111 | 2014-06-17 |
| 1184042665 | David Meyer | Pharmacist | 3929 Rocky River Dr., Cleveland, OH 44111 | 2014-04-02 |
| 1578905089 | Bassel Akbik | Internal Medicine | 18099 Lorain Ave # 250, Cleveland, OH 44111 | 2013-07-25 |
| Find all providers in zip 44111 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134726987 | Stacy Lynn Reynolds | Counselor | 112 Shade Crest Ln, Cleveland, TX 77327-4343 | 2020-10-05 |
| 1972100196 | April Ballard | Counselor | 14100 Cedar Rd Ste 290, Cleveland, OH 44121-3212 | 2020-10-01 |
| 1952924078 | Chana Rivka Hersh | Counselor | 3762 Bainbridge Rd, Cleveland, OH 44118-2244 | 2020-05-22 |
| 1033739792 | Cassandra Felice Franklin | Counselor | 6629 Worley Ave, Cleveland, OH 44105-3719 | 2020-04-23 |
| 1477189777 | Trauma Recovery and Counseling Services LLC | Counselor | 3886 Rocky River Dr, Cleveland, OH 44111-4119 | 2020-03-18 |
| 1023581758 | Edward Lee Varner | Counselor | 2292 Chambliss Ave Nw Ste C-2, Cleveland, TN 37311-3862 | 2019-01-04 |
| 1093217275 | Carmen Burrows | Counselor | 22001 Fairmount Blvd Bldg K, Cleveland, OH 44118-4819 | 2018-03-05 |
| 1114433570 | Kirstee Williams | Counselor | 1120 North Ocoee Street, Lee University, Cleveland, TN 37311 | 2017-12-21 |
| 1538679139 | Heidi Ables | Counselor | 1225 Wildwood Ave Se, Cleveland, TN 37311-6916 | 2017-10-09 |
| 1679092720 | Megan Davis | Counselor | 1115 Rowley Ave, Cleveland, OH 44109-1843 | 2017-09-10 |
| Find all providers in CLEVELAND | ||||
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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.