CARLY JESSICA NISSE (NPI# 1922613314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922613314 |
Entity Type | Individual |
Full Name | CARLY JESSICA NISSE |
Practice Address |
527 S High St Columbus OH 43215-5602 |
Practice Telephone | 6144878758 |
Mailing Telephone | 6144878758 |
Enumeration Date | 2020-09-11 |
Last Update Date | 2020-09-11 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
Y | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
527 S HIGH ST |
City | COLUMBUS |
State | OH |
Zip Code | 43215-5602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528049913 | Amethyst, Inc. | Counselor | 527 S High St, Columbus, OH 43215-5602 | 2005-11-11 |
1194331728 | Crystal Regenia Fisher | Case Manager/Care Coordinator | 527 S High St, Columbus, OH 43215-5602 | 2020-09-18 |
1366058117 | Makayla Allen | Case Manager/Care Coordinator | 527 S High St, Columbus, OH 43215-5602 | 2020-09-17 |
1689280653 | Brooklyn Sauceda | Case Manager/Care Coordinator | 527 S High St, Columbus, OH 43215-5602 | 2020-09-16 |
1992310221 | Kristi Maki Yamashita | Case Manager/Care Coordinator | 527 S High St, Columbus, OH 43215-5602 | 2020-09-14 |
1114531019 | Leah Marie Harper | Social Worker | 527 S High St, Columbus, OH 43215-5602 | 2020-09-08 |
1811501711 | Madeleine Mcmaster | Social Worker | 527 S High St, Columbus, OH 43215-5602 | 2020-09-08 |
1003429382 | Bailey Morgan Timmons | Social Worker | 527 S High St, Columbus, OH 43215-5602 | 2020-08-26 |
1548873821 | Jennifer Eikenberry | Social Worker | 527 S High St, Columbus, OH 43215-5602 | 2020-08-26 |
1659998615 | Megan Sickles | Social Worker | 527 S High St, Columbus, OH 43215-5602 | 2020-06-25 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
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Taxonomy Code | 251S00000X |
Grouping | Agencies |
Classification | Community/Behavioral Health |
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609473529 | Susan M Baker, Lcsw Inc | Community/Behavioral Health | 404 Washington St Ste 201-2, Columbus, IN 47201-6791 | 2020-10-04 |
1336753466 | Push for Recovery, LLC | Community/Behavioral Health | 3880 Clime Road, Building 2/suite A, Columbus, OH 43228-3532 | 2020-09-05 |
1518576693 | Unit Seven LLC | Community/Behavioral Health | 1743 Lonsdale Rd Apt C, Columbus, OH 43232-2892 | 2020-07-24 |
1508481037 | Basecamp Recovery LLC | Community/Behavioral Health | 815 W Broad St Fl 2, Columbus, OH 43222-1464 | 2020-06-10 |
1760003420 | Community Alliance for Youth and Adults LLC | Community/Behavioral Health | 2550 Chestnut Oak Way, Columbus, OH 43228-9169 | 2020-05-04 |
1659834489 | Transcendent Case Management & Consulting, LLC | Community/Behavioral Health | 3587 Medina Ave, Columbus, OH 43224-3418 | 2019-04-09 |
1639634629 | Mind Over Matter Counseling | Community/Behavioral Health | 92 Northwoods Blvd Ste C1, Columbus, OH 43235-4720 | 2019-02-05 |
1902360225 | Kara Lynn Mccoy | Community/Behavioral Health | 4289 Highway 78, Columbus, MT 59019-7493 | 2019-01-31 |
1891278321 | Everlasting Peace Counseling and Support Services | Community/Behavioral Health | 2210 Wynnton Rd Ste 206, Columbus, GA 31906-5820 | 2018-09-11 |
1124517081 | Sunny Watford | Community/Behavioral Health | 2525 Tiller Lane, Ste 110, Columbus, OH 43231 | 2018-05-07 |
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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.