JENNA LYNN CAMPO (NPI# 1548777501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548777501 |
| Entity Type | Individual |
| Full Name | JENNA LYNN CAMPO |
| Practice Address |
1033 Larchwood Rd Mansfield OH 44907-2424 |
| Mailing Address |
209 S Horning Rd Mansfield OH 44903-8627 |
| Practice Telephone | 4197474122 |
| Mailing Telephone | 4199897930 |
| Enumeration Date | 2017-12-29 |
| Last Update Date | 2017-12-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| N | 106S00000X | Behavior Technician | RBT-17-46845 | CO | Behavioral Health & Social Service Providers |
| Street Address |
1033 LARCHWOOD RD |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-2424 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275848707 | The Silver Lining Group Morrow Co LLC | Case Management | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2010-08-09 |
| 1659978807 | Kaleb James Armstrong | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-10-01 |
| 1508479981 | Jessica Greer | Assistant Behavior Analyst | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-08-26 |
| 1750993242 | Darby Elise Delong | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-08-18 |
| 1790395895 | Autumn Robin Mcgarvey | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-08-04 |
| 1225646557 | Brooklynn Renee Whisler | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-07-22 |
| 1740815372 | Erica Lyn Phillips | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-03-04 |
| 1902431547 | Gavin Raymond Anable | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-03-04 |
| 1285269811 | Hannah Hope Lozier | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-03-04 |
| 1497380034 | D Jla Johnson | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2020-03-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134744121 | Roshalene Mary Bodden | Case Manager/Care Coordinator | 792 S Main St Ste 102a, Mansfield, MA 02048-3137 | 2020-06-15 |
| 1891315156 | Jessica Priscilla Morgan | Case Manager/Care Coordinator | 6960 Dick Price Rd, Mansfield, TX 76063-5288 | 2020-04-16 |
| 1558996983 | Courtney Ruth Richmond | Case Manager/Care Coordinator | 1384 Cottonbelt Rd, Mansfield, LA 71052-6533 | 2020-03-05 |
| 1306479118 | Roberta Doklovic | Case Manager/Care Coordinator | 370 Cline Ave Unit B, Mansfield, OH 44907-1057 | 2020-02-20 |
| 1376104216 | Monica Hubbard | Case Manager/Care Coordinator | 370 Cline Ave Bldg B, Mansfield, OH 44907-1057 | 2019-06-21 |
| 1447818638 | Gertrude N Nwokorie | Case Manager/Care Coordinator | 1315 Grayhawk Dr, Mansfield, TX 76063-5555 | 2019-06-03 |
| 1427615848 | Special Crawford | Case Manager/Care Coordinator | 419 Wasington Ave, Mansfield, LA 71457 | 2019-05-21 |
| 1598264996 | Rebecca Anthony | Case Manager/Care Coordinator | 1768 Binning Rd, Mansfield, LA 71052-4818 | 2018-02-12 |
| 1871009647 | Ryan M. Finley | Case Manager/Care Coordinator | 711 Scholl Rd, Mansfield, OH 44907-1571 | 2017-12-15 |
| 1073065793 | Emily Owens | Case Manager/Care Coordinator | 206 Roach St, Mansfield, LA 71052-2826 | 2016-10-28 |
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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.