MARIE CHRISTINE KLEMENS (NPI# 1922524735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922524735 |
Entity Type | Individual |
Full Name | MARIE CHRISTINE KLEMENS |
Credential | MA. LPC. LCDC III |
Practice Address |
601 Cleveland Ave Nw Canton OH 44702-1836 |
Mailing Address |
625 Cleveland Ave Nw Canton OH 44702-1805 |
Practice Telephone | 3304550374 |
Practice Fax Number | 3304536716 |
Mailing Telephone | 3304550374 |
Mailing Fax Number | 3304536716 |
Enumeration Date | 2017-08-15 |
Last Update Date | 2020-07-20 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCDCIII.161767 | OH | Behavioral Health & Social Service Providers |
Y | 101YM0800X |
Counselor Specialization: Mental Health |
C.1700799 | OH | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OH | 0261366 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1341 Market Ave N, Canton, OH 447142605 | 3304538252 | 3304524655 |
201 Hospital Dr, Dover, OH 446222058 | (330) 343-6631 | 3303438188 |
800 Market Ave N, Canton, OH 447021083 | 3303240365 |
Street Address |
601 CLEVELAND AVE NW |
City | CANTON |
State | OH |
Zip Code | 44702-1836 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356365720 | Mark W Boyce | Counselor | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2006-07-27 |
1124629746 | Gabrielle Miller | Community Health Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-11-02 |
1326654302 | Amanda Lint | Case Manager/Care Coordinator | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-09-16 |
1619581444 | Dakota Myers | Counselor | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-08-31 |
1700498185 | Lee A Schindler | Social Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-08-18 |
1174135784 | Robert L Hurless | Case Manager/Care Coordinator | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-08-17 |
1366078461 | Rhonda Lynn Barrow | Community Health Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-03-20 |
1336775899 | Joelyn H Cervantez | Community Health Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-03-17 |
1518591957 | Brianna Burger | Community Health Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-02-25 |
1205469731 | Tracie Jane Clendenin | Community Health Worker | 601 Cleveland Ave Nw, Canton, OH 44702-1836 | 2020-02-12 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
1407359656 | Reginald A Corner | Case Manager/Care Coordinator | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-03-14 |
1609378322 | Nicole Osborne | Peer Specialist | 624 Market Ave N, Canton, OH 44702 | 2018-03-08 |
Find all providers in zip 44702 |
Taxonomy Code | 101YM0800X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376144766 | Arlicia Lagene Johnson | Counselor | 220 Osmanthus Way, Canton, GA 30114-7197 | 2020-11-03 |
1760082309 | Lauren Alyssa Rainey | Counselor | 46522 Aarons Way, Canton, MI 48188-2323 | 2020-10-30 |
1134736739 | Janice Marie Mccarthy | Counselor | 12 Old Meadow Ln, Canton, MA 02021-2103 | 2020-09-28 |
1497374656 | Brandi Smallwood | Counselor | 147 Clifford Ct, Canton, GA 30115-9336 | 2020-04-08 |
1194365098 | Madyna Rancifer | Counselor | 18 Bailey Ct Apt F, Canton, MA 02021-3939 | 2020-01-09 |
1942847884 | Joseph Anthony Ashley | Counselor | 3805 Woodland Ave Nw, Canton, OH 44709-2533 | 2019-12-10 |
1679117386 | Darryl Wayne Peterson II | Counselor | 3040 Wicker St Ne, Canton, OH 44721-2298 | 2019-11-05 |
1376187500 | Breaking Barriers - Hope Is Alive | Counselor | 1920 Schneider St Ne, Canton, OH 44721-3352 | 2019-10-31 |
1518529247 | Claude Melbern Aldous | Counselor | 2746 State Highway 68, Canton, NY 13617-3842 | 2019-07-02 |
1255834412 | Gorrell Counseling LLC | Counselor | 4501 Hills and Dales Rd Nw Ste 202, Canton, OH 44708-1572 | 2018-03-14 |
Find all providers in CANTON |
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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.