ROY EDWARD KECKLER SR. (NPI# 1871070714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871070714 |
| Entity Type | Individual |
| Full Name | ROY EDWARD KECKLER SR. |
| Credential | SWA, CDCA |
| Practice Address |
741 Scholl Rd Mansfield OH 44907-1571 |
| Practice Telephone | 4197561717 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2020-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | CDCA165601 | OH | Behavioral Health & Social Service Providers |
| Y | 104100000X | Social Worker | W1800089 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 195 N Grant Ave Ste 250, Columbus, OH 432152855 | 4402608300 |
| Street Address |
741 SCHOLL RD |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-1571 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487669222 | The Center for Individual and Family Services, Inc. | Clinic/Center | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2006-07-30 |
| 1497355150 | Alisha B Edgington | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-30 |
| 1023618097 | Annshalea N Yelton | Case Manager/Care Coordinator | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-29 |
| 1174122188 | The Center for Individual & Family Services, Inc. | Clinic/Center | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-21 |
| 1336747955 | Sarah R Rager | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-15 |
| 1790383305 | Skye M. Hersman | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-10-15 |
| 1770190704 | Kacey D Gardner | Case Manager/Care Coordinator | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-09-24 |
| 1851908917 | Marcia Robbins | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-09-23 |
| 1467068718 | Merideth A Etzwiler | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-09-22 |
| 1588270755 | Aimee M. Young-brissell | Behavior Technician | 741 Scholl Rd, Mansfield, OH 44907-1571 | 2020-09-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447806732 | Triple 777 Ranch & Equine Rehab Facility | Social Worker | 7039 County Road 57, Mansfield, OH 44904-9638 | 2019-08-13 |
| 1952811523 | Emily Nichols | Social Worker | 1550 S Main St Ste 2, Mansfield, PA 16933-9586 | 2017-10-09 |
| 1821516006 | Tonyua Renee Cleveland | Social Worker | 600 Strada Cir Ste 216, Mansfield, TX 76063-3209 | 2017-09-07 |
| 1154855310 | Emily Uline-olmstead | Social Worker | 780 Park Ave W, Suite D, Mansfield, OH 44906-3009 | 2017-04-14 |
| 1144779653 | Nancy Durkin | Social Worker | 60 Rumford Ave, Mansfield, MA 02048-2115 | 2016-09-26 |
| 1043686819 | Karen Lynn Mcgugin | Social Worker | 445 Longview Ave W, Mansfield, OH 44903-4155 | 2015-08-17 |
| 1356760870 | Sarah Brandyberry | Social Worker | 1025 S. Trimble Rd., Mansfield, OH 44906 | 2014-04-11 |
| 1770823064 | Tina Marie Abbott | Social Worker | 1 Dorsett Dr, Mansfield, PA 16933-1517 | 2013-02-22 |
| 1215293568 | Kristen Joann Garn | Social Worker | 741 Scholl Road, Mansfield, OH 44907-1578 | 2012-04-11 |
| 1891076444 | Julie Anne Taylor | Social Worker | 1221 South Trimble Road Building C, Mansfield, OH 44907 | 2011-09-08 |
| 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.