TYRENA DEPP (NPI# 1013554039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013554039 |
| Entity Type | Individual |
| Full Name | TYRENA DEPP |
| Credential | CDCA |
| Practice Address |
500 Madison Ave Unit 5 Toledo OH 43604-1222 |
| Mailing Address |
1409 Slater St Apt 103 Toledo OH 43612-2762 |
| Practice Telephone | 4196904544 |
| Mailing Telephone | 4193807690 |
| Enumeration Date | 2019-12-09 |
| Last Update Date | 2019-12-09 |
| 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) |
CDCA.170607 | OH | Behavioral Health & Social Service Providers |
| Street Address |
500 MADISON AVE UNIT 5 |
| City | TOLEDO |
| State | OH |
| Zip Code | 43604-1222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164913828 | Jnai Lewis | Case Manager/Care Coordinator | 500 Madison Ave Unit 5, Toledo, OH 43604-1222 | 2018-05-29 |
| 1720688385 | Shania Nicole Bass | Case Manager/Care Coordinator | 500 Madison Ave Unit 5, Toledo, OH 43604-1222 | 2020-10-31 |
| 1811502537 | Harold Ray | Case Manager/Care Coordinator | 500 Madison Ave Unit 5, Toledo, OH 43604-1222 | 2020-09-10 |
| 1881209591 | Kerry Austin | Case Manager/Care Coordinator | 500 Madison Ave Unit 5, Toledo, OH 43604-1222 | 2020-09-10 |
| 1922613645 | Tracy Keeton | Case Manager/Care Coordinator | 500 Madison Ave Unit 5, Toledo, OH 43604-1222 | 2020-09-10 |
| 1265056501 | Chauney Young | Case Manager/Care Coordinator | 500 Madison Ave Unit 5, Toledo, OH 43604-1222 | 2020-06-02 |
| 1821617697 | Marva L Jones | Case Manager/Care Coordinator | 500 Madison Ave Unit 5, Toledo, OH 43604-1222 | 2020-04-13 |
| 1265065221 | Asia C Woodson | Case Manager/Care Coordinator | 500 Madison Ave Unit 5, Toledo, OH 43604-1222 | 2020-02-18 |
| 1770116139 | Rochelle S. Morrishaw | Case Manager/Care Coordinator | 500 Madison Ave Unit 5, Toledo, OH 43604-1222 | 2020-02-13 |
| 1942831508 | Chelsey Upshaw | Case Manager/Care Coordinator | 500 Madison Ave Unit 5, Toledo, OH 43604-1222 | 2020-01-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346879590 | Kaushal B Jani | Student in an Organized Health Care Education/Training Program | Saint Vincent Medical Center, 2200 Jefferson Ave, Toledo, OH 43604 | 2020-04-08 |
| 1548807316 | Jennifer Marie Bismack | Peer Specialist | 142 23rd St, Suite 911, Toledo, OH 43604 | 2019-11-29 |
| 1841849064 | Keith Allen Vore | Student in an Organized Health Care Education/Training Program | 1117 Jefferson #214, Toledo, OH 43604 | 2019-09-10 |
| 1740846765 | Mohammad Shahrukh Tanweer | Student in an Organized Health Care Education/Training Program | Mercy Health-st. Vincent Medical Center, 2200 Jefferson Avenue, Toledo, OH 43604 | 2019-05-15 |
| 1740846229 | Sami Al-rahman Syed | Student in an Organized Health Care Education/Training Program | Mercy Health - St. Vincent, 2200 Jefferson Ave., Toledo, OH 43604 | 2019-05-10 |
| 1306402870 | Poojitha Kolluri | Student in an Organized Health Care Education/Training Program | 2200 Jefferson Avenue - Mercy Family Physician, Toledo, OH 43604 | 2019-05-10 |
| 1407375090 | Keyana Renee Galloway | Social Worker | 500 Madison Ave Ste 300, Toledo, OH 43604 | 2017-09-14 |
| 1467979302 | Courtney Lorraine Wilson | Physical Therapy Assistant | 1609 N. Summit St, Toledo, OH 43604 | 2017-08-22 |
| 1811426208 | Rosamaria Sanchez | Counselor | 701 Jefferson Ave Suite 101, Toledo, OH 43604 | 2017-06-08 |
| 1306373014 | Salwa Beydoun | Social Worker | 701 Jefferson, Toledo, OH 43604 | 2017-05-12 |
| Find all providers in zip 43604 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346856572 | Enhanced Services, LLC | Counselor | 3550 Executive Pkwy Ste 7-234, Toledo, OH 43606-1379 | 2020-09-22 |
| 1891310488 | Tammy Lynn Wintersmith | Counselor | 1701 Sylvania Ave, Toledo, OH 43613 | 2020-06-10 |
| 1750901245 | Angela Swolsky | Counselor | 6800 W Central Ave Ste D2, Toledo, OH 43617-1157 | 2020-04-24 |
| 1275167645 | Patrick Alan Grilliot | Counselor | 1701 W Sylvania Ave, Toledo, OH 43613 | 2020-02-25 |
| 1083247415 | David Virgil Oxner Jr. | Counselor | 2822 Upton Ave, Toledo, OH 43606-3959 | 2020-02-13 |
| 1558991455 | Sabrina Latrice English | Counselor | 429 Waybridge Rd, Toledo, OH 43612-3415 | 2020-01-19 |
| 1154968964 | Porsha Pratt | Counselor | 500 Madison Ave Ste 501, Toledo, OH 43604-1210 | 2019-11-30 |
| 1235775362 | Catherine Mcgurk | Counselor | 316 N Michigan St Ste 414, Toledo, OH 43604-5627 | 2019-11-25 |
| 1942852587 | Lindsey Williams-diggins | Counselor | 5841 Dorr St Apt 2, Toledo, OH 43615-3443 | 2019-07-14 |
| 1245891266 | Nancy Martin | Counselor | 6727 Hill Ave Unit Cd, Toledo, OH 43615-5559 | 2019-06-21 |
| Find all providers in TOLEDO | ||||
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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.