MS. JENNIFER MARIE BISMACK (NPI# 1548807316) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548807316 |
| Entity Type | Individual |
| Full Name | MS. JENNIFER MARIE BISMACK |
| Credential | CPRS, CPSS |
| Practice Address |
142 23rd St Suite 911 Toledo OH 43604 |
| Practice Telephone | 4195096570 |
| Mailing Telephone | 4195096570 |
| Enumeration Date | 2019-11-29 |
| Last Update Date | 2019-11-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 0001315 | OH | Other Service Providers |
| Street Address |
142 23RD ST SUITE 911 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43604 |
| 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 |
| 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 |
| 1770017865 | Full Circle To Completion LLC | Community/Behavioral Health | 316 N. Michigan Street, Suite 914, Toledo, OH 43604 | 2017-04-14 |
| Find all providers in zip 43604 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134735863 | Merianna Louisekary Davis | Peer Specialist | 3324 Stanhope Dr, Toledo, OH 43606-1249 | 2020-09-17 |
| 1730799537 | Christine Bulach Fleischman | Peer Specialist | 1701 West Sylvania Avenue, Toledo, OH 43613 | 2020-08-06 |
| 1558960955 | Kathy F Dadzie | Peer Specialist | 905 Nebraska Ave, Toledo, OH 43607-4222 | 2020-10-19 |
| 1174130728 | Jenna Guerrero | Peer Specialist | 3350 Collingwood Blvd, Toledo, OH 43610-1173 | 2020-09-28 |
| 1235776774 | Imari Osby | Peer Specialist | 3518 Monroe St, Toledo, OH 43606-4114 | 2019-12-03 |
| 1972155190 | Carol Ann Allen | Peer Specialist | 544 E Woodruff Ave, Toledo, OH 43604-5342 | 2019-07-09 |
| 1649762907 | Daniel J Rodgers | Peer Specialist | 544 E Woodruff Ave, Toledo, OH 43604-5342 | 2018-06-03 |
| 1942716139 | Kelly Ann Dean | Peer Specialist | 2005 Ashland Ave, Toledo, OH 43620-1703 | 2017-12-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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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.