DAVID WALLENHURST (NPI# 1770094575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770094575 |
| Entity Type | Individual |
| Full Name | DAVID WALLENHURST |
| Credential | AAS |
| Practice Address |
40722 State Route 154 Lisbon OH 44432-8500 |
| Mailing Address |
Po Box 429 Lisbon OH 44432-0429 |
| Practice Telephone | 3304249573 |
| Practice Fax Number | 3304240877 |
| Mailing Telephone | 3304249573 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
40722 STATE ROUTE 154 |
| City | LISBON |
| State | OH |
| Zip Code | 44432-8500 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508827932 | Columbiana County Mental Health Clinic | Case Management | 40722 State Route 154, Lisbon, OH 44432-8500 | 2006-03-28 |
| 1194351999 | Kasey Scheetz | Case Manager/Care Coordinator | 40722 State Route 154, Lisbon, OH 44432-8500 | 2020-03-13 |
| 1598395907 | Katherine Seidner | Case Manager/Care Coordinator | 40722 State Route 154, Lisbon, OH 44432-8500 | 2020-01-24 |
| 1699315705 | Debra Shaw Batchelor | Case Manager/Care Coordinator | 40722 State Route 154, Lisbon, OH 44432-8500 | 2020-01-07 |
| 1982259941 | Jaime Harper | Counselor | 40722 State Route 154, Lisbon, OH 44432-8500 | 2019-08-07 |
| 1184289100 | Charlene Tabet | Case Manager/Care Coordinator | 40722 State Route 154, Lisbon, OH 44432-8500 | 2019-05-06 |
| 1073177549 | Belinda Puchajda | Case Manager/Care Coordinator | 40722 State Route 154, Lisbon, OH 44432-8500 | 2019-04-30 |
| 1184287112 | Tammy Feo-garchar | Case Manager/Care Coordinator | 40722 State Route 154, Lisbon, OH 44432-8500 | 2019-04-16 |
| 1245792290 | Lori Lee Arbogast | Licensed Practical Nurse | 40722 State Route 154, Lisbon, OH 44432-8500 | 2019-04-01 |
| 1811455256 | William Dickey | Counselor | 40722 State Route 154, Lisbon, OH 44432-8500 | 2019-03-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871135509 | Laura Ashley Wilson | Registered Nurse | 964 North Market Street, Lisbon, OH 44432 | 2019-10-15 |
| 1720525504 | Opportunity Homes Inc. | Intermediate Care Facility, Mentally Retarded | 7745 Rose Drive, Lisbon, OH 44432 | 2017-01-31 |
| 1811149800 | Jessica L. O'dea | Counselor | 964 N. Market Street, Lisbon, OH 44432 | 2008-10-21 |
| 1063624542 | Kim Kemats | Home Health | 7941 Lisbon-salem Road, Apartment D, Lisbon, OH 44432 | 2007-05-04 |
| 1962624486 | Columbiana County Office On Aging | Respite Care | 785 E. State Street, Salem, OH 44432 | 2007-05-03 |
| 1912023813 | Excel Physical Therapy, Inc | Physical Therapist | 7735 State Route 45, Suite E, Lisbon, OH 44432 | 2007-03-22 |
| 1316583792 | Jamie Lynn Elenz | Nurse Practitioner | 7360 State Route 45, Lisbon, OH 44432 | 2019-11-21 |
| 1952484685 | Family Health Care of Columbiana County Inc | Family Medicine | 356 E Lincoln Way, Lisbon, OH 44432 | 2006-10-24 |
| 1053457481 | Marilyn M. Latham | Counselor | 964 N Market St, Lisbon, OH 44432-0464 | 2007-01-30 |
| 1265578512 | Mary Ann Snyder | Counselor | 964 N Market St, Lisbon, OH 44432-0464 | 2007-01-30 |
| Find all providers in zip 44432 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629589403 | William Oliver | Peer Specialist | 40722 State Route 154, Lisbon, OH 44432-8500 | 2017-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
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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.