STARK COUNTY TASC (NPI# 1720033806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720033806 |
| Entity Type | Organization |
| Organization Name | STARK COUNTY TASC |
| Practice Address |
624 Market Ave N Canton OH 44702-1017 |
| Practice Telephone | 3303274826 |
| Practice Fax Number | 3304790977 |
| Mailing Telephone | 3303274826 |
| Mailing Fax Number | 3304790977 |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-09-28 |
| Authorized Official Name | MR. DAVID A. WILLS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 3304791912 |
| Authorized Official Credential | MPA,LICDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MACSIS UPI | 08321 | 01 |
| Street Address |
624 MARKET AVE N |
| City | CANTON |
| State | OH |
| Zip Code | 44702-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629034830 | Trillium Family Solutions Inc | Voluntary or Charitable | 624 Market Ave N, Canton, OH 44702-1017 | 2006-04-25 |
| 1376159467 | Alissa Kiefer | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-09-23 |
| 1932715042 | Michelle Adkins | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-09-23 |
| 1659987758 | Christine Pitts | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-09-23 |
| 1508478165 | Abbie Eileen Ricketson | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-08-17 |
| 1770195323 | Jack Cameron | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-08-17 |
| 1336767565 | Sidney Cowart | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-07-14 |
| 1194347328 | Cianna A Dorando | Counselor | 624 Market Ave N, Canton, OH 44702-1017 | 2020-05-11 |
| 1518588979 | Cynthia M Cox | Counselor | 624 Market Ave N, Canton, OH 44702-1017 | 2020-04-27 |
| 1053944298 | Megen Yerman | Nurse Practitioner | 624 Market Ave N, Canton, OH 44702-1017 | 2020-02-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
| 1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
| 1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
| 1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| 1407359656 | Reginald A Corner | Case Manager/Care Coordinator | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-03-14 |
| 1962901595 | Amber Nichole Strong | Social Worker | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-02-09 |
| Find all providers in zip 44702 | ||||
| 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 |
|---|---|---|---|---|
| 1407457864 | Initial Steps Behavioral and Learning Services | Community/Behavioral Health | 50203 Paine St, Canton, MI 48188-3332 | 2020-11-03 |
| 1891393328 | Hws Best Health LLC | Community/Behavioral Health | 3878 Old Hickory Ave Nw, Canton, OH 44718-3871 | 2020-10-16 |
| 1427675834 | Aba Helps | Community/Behavioral Health | 5 Stratford Rd, Canton, MA 02021-4213 | 2020-07-01 |
| 1487149662 | James Lee Hicks Jr. | Community/Behavioral Health | 4826 Cranberry Ave Nw, Canton, OH 44709-1317 | 2018-06-29 |
| 1023501467 | Wendy E Hixenbaugh | Community/Behavioral Health | 400 Tuscarawas St W # Stwe200, Canton, OH 44702-2044 | 2018-06-11 |
| 1811484884 | Lifespan Incorporated | Community/Behavioral Health | 264 Lillie Ln, Canton, NC 28716-7900 | 2018-04-16 |
| 1770035487 | A B A Let's Play, Inc. | Community/Behavioral Health | 6304 Shipslanding Ave Nw, Canton, OH 44718 | 2016-10-28 |
| 1194276592 | Obtain The Promise LLC | Community/Behavioral Health | 189 Mill Creek Dr, Canton, GA 30115-6037 | 2016-10-20 |
| 1265985568 | Meah Counseling, LLC | Community/Behavioral Health | 5958 Canton Center Rd., Suite 900, Canton, MI 48187 | 2016-08-03 |
| 1245698356 | Meridian Behavioral Health Services | Community/Behavioral Health | 60 Thompson St, Canton, NC 28716-3325 | 2016-02-03 |
| Find all providers in CANTON | ||||
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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.