DANIELLE L VICKERS (NPI# 1689126930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689126930 |
| Entity Type | Individual |
| Full Name | DANIELLE L VICKERS |
| Credential | CDCA |
| Practice Address |
207d Colegate Dr Marietta OH 45750-2363 |
| Practice Telephone | 7403760930 |
| Mailing Telephone | 7403760930 |
| Enumeration Date | 2016-11-02 |
| Last Update Date | 2016-11-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
160491 | OH | Behavioral Health & Social Service Providers |
| Street Address |
207D COLEGATE DR |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-2363 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366479784 | Lisa Kaye La Du | Social Worker | 207d Colegate Dr, Marietta, OH 45750 | 2006-06-28 |
| 1134727696 | Julie Nicole Polcyn | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-10-15 |
| 1285232017 | Madison F Anderson | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-10-14 |
| 1144835232 | Haley N Vanoster | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-09-15 |
| 1568075414 | Olivia A Ashcraft | Counselor | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-08-28 |
| 1114530169 | Alexandria R Westfall | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-08-28 |
| 1497372080 | Trisha Leigh Bail | Nurse Practitioner | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-29 |
| 1003433939 | Erin S Godfrey | Counselor | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-26 |
| 1942826854 | Philip L Tice | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-17 |
| 1982228326 | Brady Ohrn | Case Manager/Care Coordinator | 207d Colegate Dr, Marietta, OH 45750-2363 | 2020-06-02 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477194371 | Dana Rene Forshey | Counselor | 1165 Lynch Church Rd, Marietta, OH 45750-7530 | 2019-10-01 |
| 1811540123 | Ashley Baker | Counselor | 1417 Lancaster St, Marietta, OH 45750-7973 | 2019-07-17 |
| 1811485550 | Berneice Harris | Counselor | 120 S Park Sq Ne Ste 205, Marietta, GA 30060-8632 | 2018-04-27 |
| 1598279754 | Marc V Pimsler | Counselor | 2621 Sandy Plains Rd Ste 101, Marietta, GA 30066-4276 | 2017-11-27 |
| 1891217600 | Crossover Outpatient Services LLC | Counselor | 241 Lemon St Ne Ste C, Marietta, GA 30060-1644 | 2017-07-13 |
| 1033646864 | Aminta Osejo | Counselor | 1368 Atlanta Rd Se Ste 111, Marietta, GA 30060-3936 | 2017-05-11 |
| 1144755752 | Kawonda Holland | Counselor | 2117 Caswell Cir, Marietta, GA 30060-9262 | 2017-04-21 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1336518620 | Courtney Stires | Counselor | 1338 Colegate Dr Ste B, Marietta, OH 45750-1329 | 2015-09-17 |
| Find all providers in MARIETTA | ||||
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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.