MR. CHARLES BILLOCK JR. (NPI# 1578977476) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578977476 |
| Entity Type | Individual |
| Full Name | MR. CHARLES BILLOCK JR. |
| Credential | PC |
| Practice Address |
552 N Park Ave Warren OH 44481-1117 |
| Mailing Address |
2122 Robbins Ave Apt. 302 Niles OH 44446-3976 |
| Practice Telephone | 3303921100 |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2018-03-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C.1100415 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 611 Belmont Ave, Youngstown, OH 445021037 | 3307442991 |
| Street Address |
552 N PARK AVE |
| City | WARREN |
| State | OH |
| Zip Code | 44481-1117 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962832733 | Autumn Rancourt | Physician Assistant | 552 N Park Ave, Warren, OH 44481-1117 | 2013-11-15 |
| 1225638208 | Quiana Dodson | Peer Specialist | 552 N Park Ave, Warren, OH 44481-1117 | 2020-10-28 |
| 1215424387 | Ashley Nicole Morrow | Behavior Technician | 552 N Park Ave, Warren, OH 44481-1117 | 2018-04-15 |
| 1144723024 | Brandi Houk | Social Worker | 552 N Park Ave, Warren, OH 44481-1117 | 2018-03-16 |
| 1770084568 | Katrina Stanko | Social Worker | 552 N Park Ave, Warren, OH 44481-1117 | 2018-02-27 |
| 1194224535 | Mary Elizabeth King | Social Worker | 552 N Park Ave, Warren, OH 44481-1117 | 2018-02-11 |
| 1679080337 | Joseph R Viera | Counselor | 552 N Park Ave, Warren, OH 44481-1117 | 2018-01-03 |
| 1366978074 | Sonya Rasey | Licensed Practical Nurse | 552 N Park Ave, Warren, OH 44481-1117 | 2017-05-02 |
| 1912458514 | Shelly Jones | Counselor | 552 N Park Ave, Warren, OH 44481-1117 | 2016-10-18 |
| 1770031882 | Bethany Gillespie | Social Worker | 552 N Park Ave, Warren, OH 44481-1117 | 2016-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215447321 | Fresenius Medical Care Youngstown, LLC | Clinic/Center | 4941 Enterprise Blvd Nw, Warren, OH 44481 | 2017-10-03 |
| 1942728407 | Amy Senne | Case Manager/Care Coordinator | 840 Hallock Young Rd Sw, Warren, OH 44481 | 2017-09-05 |
| 1669858486 | Team Sanders Inc | Respite Care | 893 Tait Rd, Warren, OH 44481 | 2015-08-04 |
| 1821492810 | Deirdre Bielecki | Dental Hygienist | 418 Main Avenue Sw, Warren, OH 44481 | 2014-10-20 |
| 1942413497 | Scope Inc | Home Health | 220 West Market Street, Warren, OH 44481 | 2007-05-08 |
| 1972624377 | Warren City Auditor | Public Health or Welfare | 258 E Market St, Warren, OH 44481 | 2007-04-03 |
| 1780703025 | Cythnia Coleman | Social Worker | 150 E. Market Street- Primary Practice Address, Warren, OH 44481 | 2007-03-28 |
| 1083184766 | David F Lachowski | Counselor | 4930 Enterprise Dr Nw, Warren, OH 44481 | 2018-11-26 |
| 1528576071 | Tina Marie Moore | Licensed Practical Nurse | 4930 Enterprise Dr Nw, Warren, OH 44481 | 2018-01-18 |
| 1215473392 | June Wells | Counselor | 4930 Enterprise Dr Nw, Warren, OH 44481 | 2017-01-12 |
| Find all providers in zip 44481 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627666 | Kimberly Gordon | Counselor | 24 Sheehan Rd, Warren, CT 06777-1008 | 2020-10-24 |
| 1720638141 | Jody Cohen | Counselor | 212 Melius Rd, Warren, CT 06754-1505 | 2019-09-17 |
| 1821554304 | Tamara Dallaire | Counselor | 23 Denver Ave, Warren, RI 02885-1839 | 2019-02-20 |
| 1871082115 | Thrive Counseling LLC | Counselor | 1705 Woodland St Ne, Warren, OH 44483-5348 | 2018-05-02 |
| 1689172827 | Megan Elizabeth Cook | Counselor | 5 Mountain Blvd Ste 4, Warren, NJ 07059-2625 | 2018-01-23 |
| 1518405190 | Tadarrio Lowery | Counselor | 414 Trumbull Ave Se, Warren, OH 44483-6339 | 2017-02-03 |
| 1396110904 | R'taveous Merritt | Counselor | 27567 Parkview Blvd, Warren, MI 48092-2975 | 2015-12-08 |
| 1144602897 | Alana Maria Nicolazzo | Counselor | 29203 Roan Dr, Warren, MI 48093-3566 | 2015-06-18 |
| 1346526753 | Weston Martin | Counselor | 648 Main St, Warren, RI 02885-4387 | 2011-10-30 |
| 1295962355 | Kimberly Beck | Counselor | 2000 East Market Street, Warren, OH 44483 | 2009-06-16 |
| Find all providers in WARREN | ||||
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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.