AMANDA BROGAN (NPI# 1912548116) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912548116 |
Entity Type | Individual |
Full Name | AMANDA BROGAN |
Practice Address |
9403 Kenwood Rd Ste A130 Blue Ash OH 45242-6880 |
Mailing Address |
6942 Tylersville Rd West Chester OH 45069-1511 |
Practice Telephone | 5135436600 |
Practice Fax Number | 5137450037 |
Mailing Telephone | 9375102593 |
Enumeration Date | 2019-09-30 |
Last Update Date | 2020-02-10 |
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) |
Behavioral Health & Social Service Providers |
Street Address |
9403 KENWOOD RD STE A130 |
City | BLUE ASH |
State | OH |
Zip Code | 45242-6880 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043842610 | Stacy Nicole Barnes | Counselor | 9403 Kenwood Rd Ste A130, Blue Ash, OH 45242-6880 | 2020-02-11 |
1306478037 | Amanda Jean Cole | Case Manager/Care Coordinator | 9403 Kenwood Rd Ste A130, Blue Ash, OH 45242-6880 | 2020-02-11 |
1336771138 | Tammy Lynn Collins | Case Manager/Care Coordinator | 9403 Kenwood Rd Ste A130, Blue Ash, OH 45242-6880 | 2020-02-10 |
1114559945 | Kaitlin Mcfadden | Case Manager/Care Coordinator | 9403 Kenwood Rd Ste A130, Blue Ash, OH 45242-6880 | 2020-02-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1578162533 | D&c Enhanced Home Healthcare Agency | Licensed Practical Nurse | 10999 Reed Hartman Hwy Ste 326, Blue Ash, OH 45242 | 2020-10-21 |
1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
1093324352 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7745 Ivygate Lane, Cincinnati, OH 45242 | 2020-07-23 |
1265040554 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 7172 Pfeiffer Road, Cincinnati, OH 45242 | 2020-07-22 |
1144838442 | Hotel California By The Sea Cincinnati, LLC. | Substance Abuse Rehabilitation Facility | 10519 Cinderella Drive, Cincinnati, OH 45242 | 2020-07-22 |
1841836830 | Alms Social Services | Community/Behavioral Health | 11071 Oak Avenue, Cincinnati, OH 45242 | 2019-11-25 |
1740839398 | Vibrant Care LLC | In Home Supportive Care | 1099 Reed Hartman Hwy, Suite 332, Cincinnati, OH 45242 | 2019-09-06 |
1902368988 | Twin Lakes | Assisted Living Facility | 9840 Montgomery Road, Attn: Lec Finance, Cincinnati, OH 45242 | 2019-04-01 |
1215496344 | Cathy L Rosenbaum | Pharmacist | 10274 Alliance Road, Blue Ash, OH 45242 | 2019-03-18 |
1841773181 | Accelerated Rehabilitation Centers Ltd | Physical Therapist | 9856 Montgomery Rd #300, Cincinnati, OH 45242 | 2018-09-12 |
Find all providers in zip 45242 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184249310 | Susanna Faith Vontrelle | Counselor | 10999 Reed Hartman Hwy Ste 108h, Blue Ash, OH 45242-8302 | 2020-06-13 |
1265934335 | Donn Boehler | Counselor | 11155 Centennial Ave, Blue Ash, OH 45242-1903 | 2018-03-05 |
1083157465 | David Eric Baum | Counselor | 9403 Kenwood Rd Ste C111, Blue Ash, OH 45242 | 2016-12-02 |
1013245380 | Celeste V Dennis | Counselor | 9754 Kenwood Rd, Suite B, Blue Ash, OH 45242-6159 | 2009-11-25 |
1437204310 | Sharon A. Sowders | Counselor | 10979 Reed Hartman Hwy Ste 331c, Blue Ash, OH 45242-2825 | 2007-01-24 |
1891394615 | Rosemary Le Master | Counselor | 9403 Kenwood Rd, Blue Ash, OH 45242-6895 | 2020-10-22 |
1407455835 | Amy S Medrano | Counselor | 9403 Kenwood Rd, Blue Ash, OH 45242-6895 | 2020-10-17 |
1093329500 | Kendra R Nickell | Counselor | 9403 Kenwood Rd, Blue Ash, OH 45242-6895 | 2020-09-02 |
1619585767 | Ashley B Melton | Counselor | 9403 Kenwood Rd, Blue Ash, OH 45242-6895 | 2020-07-15 |
1386262855 | Jodi Grooms | Counselor | 9403 Kenwood Rd, Blue Ash, OH 45242-6895 | 2020-07-10 |
Find all providers in BLUE ASH |
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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.