SHAWN DANIEL STIDHAM (NPI# 1023594314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023594314 |
| Entity Type | Individual |
| Full Name | SHAWN DANIEL STIDHAM |
| Practice Address |
49 Township Road 365 South Point OH 45680-9409 |
| Practice Telephone | 7404510221 |
| Practice Fax Number | 7404510771 |
| Mailing Telephone | 7404510221 |
| Mailing Fax Number | 7404510771 |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2018-07-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
49 TOWNSHIP ROAD 365 |
| City | SOUTH POINT |
| State | OH |
| Zip Code | 45680-9409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669985479 | Brandi R Workman | Counselor | 49 Township Road 365, South Point, OH 45680-9409 | 2017-11-15 |
| 1841818416 | Amber S Spence | Counselor | 49 Township Road 365, South Point, OH 45680-9409 | 2020-07-10 |
| 1053941542 | Christopher E Malolepszy | Counselor | 49 Township Road 365, South Point, OH 45680-9409 | 2020-01-23 |
| 1912559220 | Dakota B Javins | Case Manager/Care Coordinator | 49 Township Road 365, South Point, OH 45680-9409 | 2019-07-16 |
| 1477114627 | William Z Grise | Counselor | 49 Township Road 365, South Point, OH 45680-9409 | 2019-06-27 |
| 1710548318 | Aaron D Collins | Counselor | 49 Township Road 365, South Point, OH 45680-9409 | 2019-06-25 |
| 1154981272 | Michael D Anderson | Case Manager/Care Coordinator | 49 Township Road 365, South Point, OH 45680-9409 | 2019-06-20 |
| 1508425968 | Cody E Moore | Case Manager/Care Coordinator | 49 Township Road 365, South Point, OH 45680-9409 | 2019-06-10 |
| 1588220594 | Jonathan M Jenkins | Counselor | 49 Township Road 365, South Point, OH 45680-9409 | 2019-05-15 |
| 1003470220 | William G Hock | Counselor | 49 Township Road 365, South Point, OH 45680-9409 | 2019-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063021319 | Allison R Nolan Phillips | Nurse Practitioner | 335 Jefferson Ave, South Point, OH 45680 | 2020-07-23 |
| 1275099384 | Jennifer Lynn Ellsworth | Case Manager/Care Coordinator | 178 Private Dr # 19423, South Point, OH 45680 | 2019-02-13 |
| 1639640931 | Kyle Allen Mcknight | Case Manager/Care Coordinator | 178 Private Dr 19423, South Point, OH 45680 | 2018-12-12 |
| 1538639315 | Allyson Faith Fluty | Physical Medicine & Rehabilitation | 335 Jefferson Avenue, South Point, OH 45680 | 2018-12-05 |
| 1205302304 | Marielle Madden | Social Worker | 178 Private Drve 19423, South Point, OH 45680 | 2018-10-17 |
| 1841782018 | Demian Byrne | Counselor | 49 Twsp Rd 365, South Point, OH 45680 | 2018-06-04 |
| 1104317239 | Janie Rose Morris | Case Manager/Care Coordinator | 178 Private Road 29423, South Point, OH 45680 | 2018-05-24 |
| 1043737224 | Fred Timothy Jones | Counselor | 178 Private Drive 19423, South Point, OH 45680 | 2017-08-28 |
| 1225230311 | Janet Sue White | Occupational Therapy Assistant | County Road 1, South Point, OH 45680 | 2007-06-01 |
| 1417161290 | Alicia K Wilson | Home Health Aide | 1035 Country Rd 1, Apt 253, South Point, OH 45680 | 2007-05-10 |
| Find all providers in zip 45680 | ||||
| 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 |
|---|---|---|---|---|
| 1043663925 | Impact Prevention | Community/Behavioral Health | 22 Private Drive 2824 Apt B, South Point, OH 45680-7109 | 2016-07-15 |
| 1982893038 | Ena, Inc. | Community/Behavioral Health | 1130 County Road 18, South Point, OH 45680-7495 | 2007-10-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205436185 | Jermane L Belton | Community/Behavioral Health | 1007 E Crosier St, Akron, OH 44306-1538 | 2020-10-29 |
| 1942800065 | In Balance Counseling LLC | Community/Behavioral Health | 13 E Main St Ste 4, Hudson, OH 44236-3061 | 2020-10-28 |
| 1831799246 | Serenity Springs Clinical Counseling LLC | Community/Behavioral Health | 5913 Pineville Dr, Grove City, OH 43123-2568 | 2020-10-27 |
| 1891393328 | Hws Best Health LLC | Community/Behavioral Health | 3878 Old Hickory Ave Nw, Canton, OH 44718-3871 | 2020-10-16 |
| 1437757143 | Executive Heritage's Assisted Living, Inc | Community/Behavioral Health | 4050 Executive Park Dr Ste 240, Cincinnati, OH 45241-2094 | 2020-10-14 |
| 1649878885 | Transformative Solutions LLC | Community/Behavioral Health | 3454 Oak Alley Ct Ste 404, Toledo, OH 43606-1355 | 2020-10-10 |
| 1487251088 | Calvary Behavioral Health of Ohio, LLC | Community/Behavioral Health | 11974 State Route 42, Suite 240, Sharonville, OH 45242 | 2020-10-06 |
| 1720695943 | Eleven 11 Behavioral Solutions | Community/Behavioral Health | 79 Verdin Ct, Gahanna, OH 43230-6714 | 2020-09-30 |
| 1326654641 | Tiffany Hopkins Online Counseling LLC | Community/Behavioral Health | 4342 Carthel Dr, Liberty Twp, OH 45011-2316 | 2020-09-22 |
| 1326654740 | Justin's Love Home Health Agency | Community/Behavioral Health | 17325 Euclid Ave Ste 2017, Cleveland, OH 44112-1250 | 2020-09-21 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH POINT |
| Zip Code | 45680 |
Please comment or provide details below to improve the information on SHAWN DANIEL STIDHAM.
| 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.