SARA LOUISE THEVENIN (NPI# 1649892746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649892746 |
| Entity Type | Individual |
| Full Name | SARA LOUISE THEVENIN |
| Practice Address |
732 Beckman St Dayton OH 45410-2165 |
| Mailing Address |
1513 Alameda Dr Xenia OH 45385-1203 |
| Practice Telephone | 9372538990 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-05-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
732 BECKMAN ST |
| City | DAYTON |
| State | OH |
| Zip Code | 45410-2165 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942321989 | Massimo De Marchis | Psychologist | 732 Beckman St, Nova House Association Inc., Dayton, OH 45410-2165 | 2007-04-03 |
| 1497363345 | Adrian Hope Bates | Nurse Practitioner | 732 Beckman St, Dayton, OH 45410-2165 | 2020-07-16 |
| 1396362539 | Cory Adkins | Behavior Technician | 732 Beckman St, Dayton, OH 45410-2165 | 2020-07-04 |
| 1396364881 | Vateema Frosh | Counselor | 732 Beckman St, Dayton, OH 45410-2165 | 2020-04-14 |
| 1699308387 | Abhishek Aggarwal | Behavior Technician | 732 Beckman St, Dayton, OH 45410-2165 | 2020-02-20 |
| 1336788132 | Jeniece Gentry | Behavior Technician | 732 Beckman St, Dayton, OH 45410-2165 | 2019-12-27 |
| 1851932867 | Joseph Robert Lane | Counselor | 732 Beckman St, Dayton, OH 45410-2165 | 2019-10-01 |
| 1710535059 | Tamara Kay Balcer | Licensed Practical Nurse | 732 Beckman St, Dayton, OH 45410-2165 | 2019-08-29 |
| 1528612819 | Eric Oliver Jefferson | Behavior Technician | 732 Beckman St, Dayton, OH 45410-2165 | 2019-07-25 |
| 1275199184 | Toie Lamont Mitchell | Counselor | 732 Beckman St, Dayton, OH 45410-2165 | 2019-05-15 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376010801 | Yolanda D Howard | Counselor | 519 Xenia Ave, Dayton, OH 45410 | 2018-11-02 |
| 1265713713 | Amber Howard | Counselor | 1500 Coventry Rd, Dayton, OH 45410 | 2011-08-29 |
| 1386815207 | Heather Lynne Waggoner | Social Worker | 600 Wayne Avenue, Dayton, OH 45410 | 2008-03-19 |
| 1104973882 | Byron G Epley Dds Inc | Dentist | 709 Xenia Ave, Dayton, OH 45410 | 2007-01-04 |
| 1720569346 | Jennifer Marie Howell | Social Worker | 732 Beckman Street, Dayton, OH 45410 | 2018-08-22 |
| 1720572829 | Malinda Kirk | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-06-21 |
| 1861986168 | Taiyana Mickey | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-06-20 |
| 1427542182 | Tanisha Reynolds | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-06-17 |
| 1033606892 | Brittni Wilkinson | Community/Behavioral Health | 600 Wayne Ave, Dayton, OH 45410 | 2018-04-17 |
| 1881198612 | Jacob Sauer | Counselor | 600 Wayne Ave, Dayton, OH 45410 | 2018-03-19 |
| Find all providers in zip 45410 | ||||
| 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 |
|---|---|---|---|---|
| 1619525763 | Essential Reflections Counseling and Consultation, LLC | Community/Behavioral Health | 4130 Linden Ave Ste 320, Dayton, OH 45432-3034 | 2019-09-02 |
| 1447807524 | Marathon Recovery Services | Community/Behavioral Health | 25 Marathon Ave, Dayton, OH 45405-3613 | 2019-08-22 |
| 1205392677 | Victory Town Community Foundation | Community/Behavioral Health | 5200 Philadelphia Dr, Dayton, OH 45415-3608 | 2019-02-11 |
| 1861987364 | Daybreak, Inc | Community/Behavioral Health | 701 S Patterson Blvd, Dayton, OH 45402-2620 | 2018-06-27 |
| 1619461555 | Tryyun Yarbrough | Community/Behavioral Health | 166 Henry St, Dayton, OH 45403-2398 | 2018-06-14 |
| 1922591833 | Fernandis Wayne Jenkins | Community/Behavioral Health | 601 Xenia Ave, Dayton, OH 45410-1825 | 2018-06-14 |
| 1780178624 | Marilyn Yvonne Davis | Community/Behavioral Health | 166 Henry St Apt 2, Dayton, OH 45403-2343 | 2018-06-14 |
| 1295228195 | Aaren Nicole Scandrick | Community/Behavioral Health | 166 Henry St Apt 5, Dayton, OH 45403-2343 | 2018-06-14 |
| 1568998904 | Project Cure Inc | Community/Behavioral Health | 1800 N. James Mcgee Blvd, Dayton, OH 45417-9526 | 2017-05-04 |
| 1720434707 | Ascent Health, LLC | Community/Behavioral Health | 1162 Peachcreek Rd., Dayton, OH 45458 | 2016-05-10 |
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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.