STEPHEN ANDERSON (NPI# 1720518319) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720518319 |
| Entity Type | Individual |
| Full Name | STEPHEN ANDERSON |
| Practice Address |
680 Park Ave W. Mansfield OH 44906 |
| Mailing Address |
680 Park Ave W Mansfield OH 44906-3706 |
| Practice Telephone | (419) 528-5993 |
| Practice Fax Number | 5675605486 |
| Mailing Telephone | 4195285993 |
| Mailing Fax Number | 5675605486 |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
163563 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740640143 | Stephen Craig Anderson | Registered Nurse | 626 Prichett Ct, Fort Collins, CO 80525-8229 | 2016-02-26 |
| 1689905036 | Stephen Christian Anderson | Social Worker | 525 S Melendres St, Las Cruces, NM 88005-2805 | 2010-01-25 |
| 1366680696 | Stephen Russell Anderson | Psychologist | 8297 Old Post Rd E, East Amherst, NY 14051-1530 | 2009-01-23 |
| 1720276520 | Stephen E Anderson | Marriage & Family Therapist | 2940 Summit St Ste 2a, Oakland, CA 94609-3416 | 2007-10-05 |
| 1861415960 | Stephen Craig Anderson | Dentist | 542 Pulaski Rd, Calumet City, IL 60409-4121 | 2006-07-26 |
| 1306867833 | Stephen C Anderson | Internal Medicine | 95 Sargent St, Route 9, Belchertown, MA 01007-9881 | 2006-07-21 |
| 1891753125 | Stephen L Anderson | Social Worker | 1032 S 16th St, Suite 219, Milwaukee, WI 53204 | 2006-05-03 |
| 1154948438 | Stephen Anderson | Pharmacist | 4121 Halifax Rd, South Boston, VA 24592-4833 | 2020-07-02 |
| 1508386913 | Stephen Anderson | Student in an Organized Health Care Education/Training Program | 3601 4th St # Ms 9410, Lubbock, TX 79430-0002 | 2017-06-27 |
| 1871951939 | Stephen Joseph Anderson | Nurse Anesthetist, Certified Registered | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2016-02-04 |
| Street Address |
680 PARK AVE W. |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154920155 | Jonathan Clevenger | Pharmacist | 1455 North Lexington-springmill Road, Ontario, OH 44906 | 2020-10-21 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1639721905 | Lora Harris | Nurse Practitioner | 1029 S. Trimble Rd, Mansfield, OH 44906 | 2019-07-16 |
| 1871098855 | Med Gear Plus, LLC | Durable Medical Equipment & Medical Supplies | 1041 Park Ave W, Mansfield, OH 44906 | 2018-03-29 |
| 1912401209 | Bradley Anderson | Dietitian, Registered | 1025 South Trimble Rd., Mansfield, OH 44906 | 2018-03-21 |
| 1104325182 | Nancy Labaki | Speech-Language Pathologist | 2011 W. Fourth St., Mansfield, OH 44906 | 2018-02-06 |
| 1427422518 | Jill A Waite | Counselor | 33 S. Lexington-springmill Road, Mansfield, OH 44906 | 2015-11-30 |
| 1992125397 | Taryn Boyd | Physical Therapist | 1025 S Trimble, Mansfield, OH 44906 | 2014-04-24 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| 1780974766 | Tori Bailey Burnworth | Occupational Therapist | 1750 W. 4th Street, Mansfield, OH 44906 | 2011-04-12 |
| Find all providers in zip 44906 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891989 | Soulace Group LLC | Counselor | 91 Park Ave W Ste A, Mansfield, OH 44902-1630 | 2020-02-03 |
| 1639652423 | Richard Johnson | Counselor | 3203 Star Hill Rd, Mansfield, TX 76063-2375 | 2018-09-08 |
| 1720564768 | Kurt Billups | Counselor | 6970 Dick Price Rd, Mansfield, TX 76063-5288 | 2018-07-12 |
| 1487144952 | Kenneth Cornell Johnson Jr. | Counselor | 91 Park Ave W, Mansfield, OH 44902-1630 | 2018-05-10 |
| 1104323898 | Kristin Jones | Counselor | 680 Park Ave. West, Mansfield, OH 44906-4490 | 2018-04-09 |
| 1912403130 | Scott Haverd Hudnall | Counselor | 608 Park Ave W, Mansfield, OH 44906-3769 | 2018-04-05 |
| 1609387786 | Thomas W Schluter Jr. | Counselor | 780 Park Ave W Ste D, Mansfield, OH 44906-3009 | 2017-10-17 |
| 1235680075 | Sarah Hurst-pelfrey | Counselor | 680 Park Avenue West, Mansfield, OH 44906-2641 | 2016-10-17 |
| 1013397595 | Wesley Kyser | Counselor | 2 Smith Ave, Mansfield, OH 44905-2855 | 2015-06-01 |
| 1902234453 | Mindful Life In Action | Counselor | 1183 Lexington Ave, Mansfield, OH 44907-2252 | 2013-10-21 |
| Find all providers in MANSFIELD | ||||
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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.