ASHLIE PETHTEL (NPI# 1801368261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801368261 |
| Entity Type | Individual |
| Full Name | ASHLIE PETHTEL |
| Credential | CDCA QMHS |
| Practice Address |
246 Northland Dr Medina OH 44256-3441 |
| Mailing Address |
434 Eastland Rd Berea OH 44017-1217 |
| Practice Telephone | 4402608300 |
| Mailing Telephone | 4402342006 |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2020-05-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.170944 | OH | Behavioral Health & Social Service Providers |
| N | 172V00000X | Community Health Worker | OH | Other Service Providers | |
| N | 171M00000X | Case Manager/Care Coordinator | OH | Other Service Providers |
| Street Address |
246 NORTHLAND DR |
| City | MEDINA |
| State | OH |
| Zip Code | 44256-3441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740279199 | Ravinder K Brar | Psychiatry & Neurology | 246 Northland Dr, Suite 200 A, Medina, OH 44256-1533 | 2005-10-18 |
| 1003413980 | Megan North | Registered Nurse | 246 Northland Dr, Medina, OH 44256-3441 | 2020-10-05 |
| 1841807351 | Katelynn Vincent | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2020-09-29 |
| 1689289415 | Carolyn Wilder | Community Health Worker | 246 Northland Dr, Medina, OH 44256-3441 | 2020-09-09 |
| 1215541073 | Samantha Koeberle | Social Worker | 246 Northland Dr, Medina, OH 44256-3441 | 2020-08-31 |
| 1982225363 | Nicola Klein | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2020-04-27 |
| 1841820263 | James M Eberly | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2020-01-24 |
| 1528698099 | Rachael L Bradford-bank | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2020-01-23 |
| 1326698184 | John A Heer | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2019-09-13 |
| 1063068310 | Susan Rucky | Peer Specialist | 246 Northland Dr, Medina, OH 44256-3441 | 2019-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
| 1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
| 1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
| 1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
| 1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
| 1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
| 1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
| 1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
| Find all providers in zip 44256 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821465634 | Bhagwanti Khatri | Counselor | 2848 Aaron Dr, Medina, OH 44256-7970 | 2015-08-27 |
| 1841557998 | Aaron B Green | Counselor | 133 N Court St, Medina, OH 44256-1927 | 2012-04-13 |
| 1487888947 | Susan J Rair Krug | Counselor | 246 Northland Dr Ste 200, Medina, OH 44256-3440 | 2009-05-12 |
| 1235348137 | Susan Marie Russell | Counselor | 4018 Medina Rd Ste D, Medina, OH 44256-9675 | 2007-05-21 |
| 1144303041 | Stephen Jaramillo | Counselor | 3076 Remsen Rd, Medina, OH 44256-9225 | 2006-10-23 |
| 1124096169 | Lenny J Hrovat | Counselor | 555 Independence Drive, Medina, OH 44256 | 2006-03-08 |
| 1396375549 | Rhianna Hengartner | Counselor | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2020-01-16 |
| 1235778077 | Daniela Guimaraes Brenner | Counselor | 807 E Washington St Ste 150, Medina, OH 44256-3339 | 2019-12-26 |
| 1679055727 | Amie Jennifer Dunstan | Counselor | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2018-09-05 |
| 1841770666 | David Alan Reiman | Counselor | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2018-08-21 |
| Find all providers in MEDINA | ||||
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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.