MR. CHARLES HEBERLEIN (NPI# 1992312599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992312599 |
| Entity Type | Individual |
| Full Name | MR. CHARLES HEBERLEIN |
| Credential | LCDC III |
| Practice Address |
3418 Lake Ave Ashtabula OH 44004-5763 |
| Practice Telephone | 4406505030 |
| Mailing Telephone | 4406505030 |
| Enumeration Date | 2020-09-28 |
| Last Update Date | 2020-09-28 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OH | Behavioral Health & Social Service Providers |
| Street Address |
3418 LAKE AVE |
| City | ASHTABULA |
| State | OH |
| Zip Code | 44004-5763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962019570 | David Graves Jr. | Counselor | 3418 Lake Ave, Ashtabula, OH 44004-5763 | 2020-09-28 |
| 1033726674 | Carlen Pittman | Counselor | 3418 Lake Ave, Ashtabula, OH 44004-5763 | 2020-09-28 |
| 1356958987 | Jessica Hornbeck | Counselor | 3418 Lake Ave, Ashtabula, OH 44004-5763 | 2020-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174167050 | Jack Lemmon | Physical Therapist | 2515 Lake Rd E, Ashtabula, OH 44004 | 2019-11-04 |
| 1871060608 | Ahmed Shahata | Obstetrics & Gynecology | Ashtabula County Medical Center/obgyn Dept, 2420 Lake Ave, Ashtabula, OH 44004 | 2018-10-30 |
| 1861999013 | Thomas Webber | Counselor | 2801 C. Court, Ashtabula, OH 44004 | 2018-04-12 |
| 1942702428 | Troy Mills | Hearing Instrument Specialist | 2604 West Prospect Rd, Ashtabula, OH 44004 | 2018-03-01 |
| 1598294886 | Howard Edward Loftus Jr. | Counselor | 4726 Main Ave., Ashtabula, OH 44004 | 2017-06-08 |
| 1861928087 | Hannah Woods | Physical Therapist | 3720 N Ridge Road W, Ashtabula, OH 44004 | 2017-05-08 |
| 1376095422 | Lantern of Saybrook | Assisted Living Facility | 3720 North Ridge Road West, Ashtabula, OH 44004 | 2016-10-25 |
| 1801346366 | Melissa Marie Holland | Licensed Practical Nurse | 2124 W Prospect Rd, Ashtabula, OH 44004 | 2016-10-09 |
| 1184080087 | Kevin M Welsh | Speech-Language Pathologist | 2240 Wade Ave, Ashtabula, OH 44004 | 2016-01-07 |
| 1285021709 | David Hefner | Early Intervention Provider Agency | 600 State Road, Ashtabula, OH 44004 | 2015-04-22 |
| Find all providers in zip 44004 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447870670 | Djm Recovery Solutions, LLC | Counselor | 1809 W 16th St, Ashtabula, OH 44004-3018 | 2020-04-17 |
| 1861999013 | Thomas Webber | Counselor | 2801 C. Court, Ashtabula, OH 44004 | 2018-04-12 |
| 1720585870 | Christen Sonoski | Counselor | 1736 W 13th St, Ashtabula, OH 44004-2914 | 2018-04-06 |
| 1841561222 | Rachel A Conn | Counselor | 2801 C Court, Ashtabula, OH 44004 | 2012-01-18 |
| 1740386531 | Kirstin A Esch | Counselor | 4200 Park Ave 2nd Fl, Signature Health Inc, Ashtabula, OH 44004-6887 | 2006-09-16 |
| 1962019570 | David Graves Jr. | Counselor | 3418 Lake Ave, Ashtabula, OH 44004-5763 | 2020-09-28 |
| 1033726674 | Carlen Pittman | Counselor | 3418 Lake Ave, Ashtabula, OH 44004-5763 | 2020-09-28 |
| 1356958987 | Jessica Hornbeck | Counselor | 3418 Lake Ave, Ashtabula, OH 44004-5763 | 2020-09-28 |
| 1144833930 | Holly Lane-ruot | Counselor | 2801 C Ct, Ashtabula, OH 44004-4577 | 2020-08-31 |
| 1801408042 | Casandra R Petri | Counselor | 2801 C Ct, Ashtabula, OH 44004-4577 | 2020-08-19 |
| Find all providers in ASHTABULA | ||||
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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.