WOLF CREEK WELLNESS LLC (NPI# 1003355090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003355090 |
| Entity Type | Organization |
| Organization Name | WOLF CREEK WELLNESS LLC |
| Practice Address |
1219 High St Wadsworth OH 44281-7108 |
| Practice Telephone | 3307308061 |
| Mailing Telephone | 3307308061 |
| Enumeration Date | 2017-02-23 |
| Last Update Date | 2017-02-23 |
| Authorized Official Name | RICHARD J MAROON (SOLE MBR) |
| Authorized Official Telephone | 3307308061 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
34.009421 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE | E.0007875 | 01 |
| Street Address |
1219 HIGH ST |
| City | WADSWORTH |
| State | OH |
| Zip Code | 44281-7108 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477667632 | Angela R Gasser | Dentist | 1219 High St, Ste 110, Wadsworth, OH 44281-9421 | 2006-08-17 |
| 1295951861 | Angela R. Gasser Dds LLC | Dentist | 1219 High St, Suite110, Wadsworth, OH 44281-9421 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942764857 | Robert Andrew Welch | Contractor | 214 Stratford Avenue, Wadsworth, OH 44281 | 2019-01-24 |
| 1497236475 | Isaac Kennedy II | Case Manager/Care Coordinator | 205 Wadsworth Rd, Wadsworth, OH 44281 | 2018-08-27 |
| 1861906216 | Core Counseling & Consulting, LLC | Counselor | 6438 Ridge Rd, Office 5, Wadsworth, OH 44281 | 2017-11-21 |
| 1790203313 | Andrea Allington | Speech-Language Pathologist | 524 Broad Street, Wadsworth, OH 44281 | 2017-09-04 |
| 1669830840 | Christina Ann Cook | Nurse Practitioner | 200 Smokerise Dr., Suite 100, Wadsworth, OH 44281 | 2016-02-03 |
| 1619341484 | Modern Hearing Solutions of Wadsworth, Inc. | Hearing Aid Equipment | 1197 High St. Nw, Suite 100, Wadsworth, OH 44281 | 2015-11-17 |
| 1689042475 | Julia Copley | Counselor | 1219 High Street Suite 100, Wadsworth, OH 44281 | 2015-09-10 |
| 1083090070 | Brittany Morgan Reynolds | Physical Therapist | 145 Smokerise Drive, Wadsworth, OH 44281 | 2015-08-03 |
| 1912399122 | Beverly Major | Counselor | 6438 Ridge Rd., Wadsworth, OH 44281 | 2015-02-25 |
| 1073904538 | Wadsworth City Schools | Speech-Language Pathologist | 150 Silvercreek Rd., Wadsworth, OH 44281 | 2015-02-05 |
| Find all providers in zip 44281 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780299818 | Sophia Bilikovsky | Counselor | 3025 Monterey Ln, Wadsworth, IL 60083-8924 | 2020-09-15 |
| 1952937757 | Douglas Alan Megenhardt | Counselor | 205 Wadsworth Rd, Wadsworth, OH 44281-9580 | 2020-03-12 |
| 1942835467 | Ulysses D Jackson IIi | Counselor | 205 Wadsworth Rd, Wadsworth, OH 44281-9580 | 2020-03-04 |
| 1760021638 | Richard Scott Showman Jr. | Counselor | 205 Wadsworth Rd, Wadsworth, OH 44281-9580 | 2019-12-24 |
| 1740443860 | Gage Nephi Riddoch | Counselor | 104 Big Bend Ranch Rd, Nevada Skies Youth Wellness Center, Wadsworth, NV 89442 | 2008-07-09 |
| 1639342553 | Daniel Davis Jr. | Counselor | 104 Big Bend Ranch Road, Wadsworth, NV 89442-9442 | 2008-04-11 |
| 1245403112 | Jody Marie Ray | Counselor | 104 Big Bend Ranch Road, Wadsworth, NV 89442 | 2008-04-10 |
| 1336356385 | Leslie Steve | Counselor | 104 Big Bend Ranch Road, Wadsworth, NV 89442-0280 | 2007-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861093254 | Innovative Wellness LLC | Counselor | 4985 Smoketalk Ln, Westerville, OH 43081-4432 | 2020-11-03 |
| 1619578275 | Steps To Wellness, Inc. | Counselor | 3577 East 144h Street, Cleveland, OH 44120 | 2020-11-02 |
| 1215537493 | Christine Moran | Counselor | 3092 W 155th St, Cleveland, OH 44111-1029 | 2020-10-28 |
| 1790384220 | Ron Lee Ward | Counselor | 950 E Alex Bell Rd Ste 100, Centerville, OH 45459-2721 | 2020-10-26 |
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1669070033 | Charismata Counseling LLC | Counselor | 2670 N Columbus St Ste 0, Lancaster, OH 43130-8408 | 2020-10-16 |
| 1467050427 | Sonia Buhrer Bowen | Counselor | 475 E Mound St, Columbus, OH 43215-5573 | 2020-10-13 |
| 1750989737 | Renea Yvonne Jagel | Counselor | 4711 Nebraska Ave, Huber Heights, OH 45424-6003 | 2020-10-13 |
| 1114524741 | Amanda Jo Sharp | Counselor | 500 Lehman Ave Ste 100, Bowling Green, OH 43402-3068 | 2020-10-06 |
| 1689271546 | Laura Frericks | Counselor | 4577 Frederick Pike Apt D, Dayton, OH 45414-3940 | 2020-10-05 |
| Find all providers with the same taxonomy | ||||
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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.