BARBARA J PACK (NPI# 1679792535) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679792535 |
| Entity Type | Individual |
| Full Name | BARBARA J PACK |
| Other Name | BARBARA J FAIR, BARNETT, FRANCO |
| Credential | LPCC-S, LICDC-CS |
| Practice Address |
104 Spink St Wooster OH 44691-3652 |
| Practice Telephone | 3302648498 |
| Practice Fax Number | 3302643777 |
| Mailing Telephone | 3302648498 |
| Mailing Fax Number | 3302643777 |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2020-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ICDC.011148 CS | OH | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E.0004203-SUPV | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 096549 | 05 |
| Street Address |
104 SPINK ST |
| City | WOOSTER |
| State | OH |
| Zip Code | 44691-3652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346267283 | Oneeighty, Inc. | Case Management | 104 Spink St, Wooster, OH 44691-3652 | 2006-07-16 |
| 1114541000 | Rhoda Lee Williams | Counselor | 104 Spink St, Wooster, OH 44691-3652 | 2020-06-05 |
| 1386268274 | Amy Elizabeth Calvaruso | Counselor | 104 Spink St, Wooster, OH 44691-3652 | 2020-06-05 |
| 1932723525 | Erin Louise Blake | Social Worker | 104 Spink St, Wooster, OH 44691-3652 | 2020-05-30 |
| 1518589100 | Alisha N Chalfant | Counselor | 104 Spink St, Wooster, OH 44691-3652 | 2020-05-18 |
| 1639790975 | Drew Michael Sherwood | Peer Specialist | 104 Spink St, Wooster, OH 44691-3652 | 2020-04-28 |
| 1487285664 | Sarah Pontsler | Social Worker | 104 Spink St, Wooster, OH 44691-3652 | 2020-01-28 |
| 1407486053 | Elizabeth Fugate | Counselor | 104 Spink St, Wooster, OH 44691-3652 | 2020-01-23 |
| 1376181164 | Rachel Grace Guidetti | Counselor | 104 Spink St, Wooster, OH 44691-3652 | 2019-12-12 |
| 1487297933 | Leah J Humphrey | Social Worker | 104 Spink St, Wooster, OH 44691-3652 | 2019-10-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285296426 | Teddi Lynn Beun | Home Health Aide | 337 West North Street, Suite 1, Wooster, OH 44691 | 2019-07-08 |
| 1285102418 | Samantha M Rodman | Case Manager/Care Coordinator | 2858 Back Orrville Road, Wooster, OH 44691 | 2018-11-06 |
| 1205347028 | Progressive Wooster LLC | Skilled Nursing Facility | 1700 E Smithville Wester Rd, Wooster, OH 44691 | 2017-10-19 |
| 1619357563 | Michelle L Morton | Counselor | 439 N Market St Ste B, Wooster, OH 44691 | 2015-06-05 |
| 1003295502 | Walter Blair Geho | Internal Medicine | 533 Beechwood Street, Wooster, OH 44691 | 2015-05-29 |
| 1578960589 | Beth Gaubatz | Psychologist | 375 South Smyser Road, Wooster, OH 44691 | 2014-11-20 |
| 1184039729 | Diane Woodruff | Licensed Practical Nurse | 1605 Lemar Dr, Wooster, OH 44691 | 2014-06-23 |
| 1003257312 | Stacy Marie Scheibert | Licensed Practical Nurse | 639 Robinson Road, Wooster, OH 44691 | 2013-07-15 |
| 1487905972 | Judy Kropf | Counselor | 104 Spink Street, Wooster, OH 44691 | 2012-09-25 |
| 1295080752 | Brittany J Mowrer | Home Health Aide | 3570 W Smithville Western Rd, Wooster, OH 44691 | 2012-07-19 |
| Find all providers in zip 44691 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073171302 | Regain Life Balance LLC | Counselor | 146 E Liberty St Ste 20, Wooster, OH 44691-4372 | 2019-06-02 |
| 1538615323 | Mychael Pope | Counselor | 737 S Firestone Rd, Wooster, OH 44691-9314 | 2016-08-31 |
| 1043675937 | Jenny Preston | Counselor | 127 E Liberty St Ste 360, Wooster, OH 44691-4396 | 2015-12-21 |
| 1740477744 | Tracie Lynn Giffin | Counselor | 625 N Grant St, Wooster, OH 44691-2822 | 2007-10-03 |
| 1972790202 | Leslie B. Feder | Counselor | 1515 Oak Hill Rd, Wooster, OH 44691-1437 | 2007-10-01 |
| 1770778581 | Daniel Stavnezer | Counselor | 558 N Market St Ste A, Wooster, OH 44691-3406 | 2007-09-14 |
| 1316037609 | Vincent Didato | Counselor | 132 S Market St, Suite 201, Wooster, OH 44691-4765 | 2006-10-15 |
| 1104448786 | Nicole Holman | Counselor | 2285 Benden Dr, Wooster, OH 44691-2568 | 2020-05-18 |
| 1184262081 | Julie Carlson | Counselor | 104 Spink Street, Wooster, OH 44691 | 2019-12-11 |
| 1336700442 | Nicole E Bunker | Counselor | 2285 Benden Dr, Wooster, OH 44691-2568 | 2019-06-28 |
| Find all providers in WOOSTER | ||||
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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.