GAVIN ALAN EBERHARDT (NPI# 1720555451) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720555451 |
| Entity Type | Individual |
| Full Name | GAVIN ALAN EBERHARDT |
| Practice Address |
765 Pierce Dr Columbus OH 43223-2425 |
| Mailing Address |
5603 Deforest Dr Columbus OH 43232-7515 |
| Practice Telephone | 6142331650 |
| Practice Fax Number | 8886799808 |
| Mailing Telephone | 6146386285 |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2020-05-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
765 PIERCE DR |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43223-2425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376631416 | Judith Dean | Social Worker | 765 Pierce Dr, Columbus, OH 43223-2425 | 2006-10-11 |
| 1750908679 | Sierra Hoermle | Licensed Practical Nurse | 765 Pierce Dr, Columbus, OH 43223-2425 | 2020-06-26 |
| 1740806892 | Christine Mann | Licensed Practical Nurse | 765 Pierce Dr, Columbus, OH 43223-2425 | 2020-06-24 |
| 1912537176 | Victoria Gbenpelle | Registered Nurse | 765 Pierce Dr, Columbus, OH 43223-2425 | 2020-01-16 |
| 1225678360 | Penny Wickard | Licensed Practical Nurse | 765 Pierce Dr, Columbus, OH 43223-2425 | 2020-01-07 |
| 1922648088 | Kalli Steinicke | Behavioral Analyst | 765 Pierce Dr, Columbus, OH 43223-2425 | 2020-01-07 |
| 1760021216 | Debbey Denney | Licensed Practical Nurse | 765 Pierce Dr, Columbus, OH 43223-2425 | 2020-01-02 |
| 1407494479 | William Reeves | Registered Nurse | 765 Pierce Dr, Columbus, OH 43223-2425 | 2019-12-20 |
| 1184262263 | Kelly Nuckles | Licensed Practical Nurse | 765 Pierce Dr, Columbus, OH 43223-2425 | 2019-12-19 |
| 1245878412 | Tasha Howell | Licensed Practical Nurse | 765 Pierce Dr, Columbus, OH 43223-2425 | 2019-12-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386121879 | Select Medical Transportation Services, LLC | Non-emergency Medical Transport (VAN) | 1965 Zettler Center Dr, Columbus, OH 43223 | 2018-07-26 |
| 1659867778 | Latisha White | Licensed Practical Nurse | 765 Pierce Drive, Columbus, OH 43223 | 2018-07-02 |
| 1225522790 | Maressa K Carter | Behavior Technician | 735 Pierce Dr, Columbus, OH 43223 | 2018-06-19 |
| 1942704192 | Florence Arinaitwe | Counselor | Netcare Access, 199 S. Central Avenue, Columbus, OH 43223 | 2018-03-22 |
| 1659882256 | Heinzerling Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1605 Heinzerling Drive, Columbus, OH 43223 | 2017-10-23 |
| 1679084271 | Heinzerling Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1625 Heinzerling Drive, Columbus, OH 43223 | 2017-10-23 |
| 1346769445 | Karla L Delcour | Psychologist | 2200 W. Broad Street, Columbus, OH 43223 | 2017-09-11 |
| 1740711365 | Heather Price | Counselor | 1788 Winding Field St, Columbus, OH 43223 | 2017-03-24 |
| 1477848133 | Anu Raghavan | Psychiatry & Neurology | 199 S. Central Ave, Columbus, OH 43223 | 2011-06-10 |
| 1588837728 | Pomegranate Health Systems of Central Ohio, Inc. | Psychiatric Hospital | 765 Pierce Dr., Columbus, OH 43223 | 2008-04-09 |
| Find all providers in zip 43223 | ||||
| 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 |
|---|---|---|---|---|
| 1609473529 | Susan M Baker, Lcsw Inc | Community/Behavioral Health | 404 Washington St Ste 201-2, Columbus, IN 47201-6791 | 2020-10-04 |
| 1336753466 | Push for Recovery, LLC | Community/Behavioral Health | 3880 Clime Road, Building 2/suite A, Columbus, OH 43228-3532 | 2020-09-05 |
| 1518576693 | Unit Seven LLC | Community/Behavioral Health | 1743 Lonsdale Rd Apt C, Columbus, OH 43232-2892 | 2020-07-24 |
| 1508481037 | Basecamp Recovery LLC | Community/Behavioral Health | 815 W Broad St Fl 2, Columbus, OH 43222-1464 | 2020-06-10 |
| 1760003420 | Community Alliance for Youth and Adults LLC | Community/Behavioral Health | 2550 Chestnut Oak Way, Columbus, OH 43228-9169 | 2020-05-04 |
| 1659834489 | Transcendent Case Management & Consulting, LLC | Community/Behavioral Health | 3587 Medina Ave, Columbus, OH 43224-3418 | 2019-04-09 |
| 1639634629 | Mind Over Matter Counseling | Community/Behavioral Health | 92 Northwoods Blvd Ste C1, Columbus, OH 43235-4720 | 2019-02-05 |
| 1902360225 | Kara Lynn Mccoy | Community/Behavioral Health | 4289 Highway 78, Columbus, MT 59019-7493 | 2019-01-31 |
| 1891278321 | Everlasting Peace Counseling and Support Services | Community/Behavioral Health | 2210 Wynnton Rd Ste 206, Columbus, GA 31906-5820 | 2018-09-11 |
| 1124517081 | Sunny Watford | Community/Behavioral Health | 2525 Tiller Lane, Ste 110, Columbus, OH 43231 | 2018-05-07 |
| Find all providers in COLUMBUS | ||||
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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.