TRACI WAKELY (NPI# 1023664034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023664034 |
| Entity Type | Individual |
| Full Name | TRACI WAKELY |
| Credential | QMHS3Y CMS |
| Practice Address |
1199 Delaware Ave Ste 107 Marion OH 43302-7462 |
| Mailing Address |
434 Eastland Rd Berea OH 44017-1217 |
| Practice Telephone | 4402608300 |
| Mailing Telephone | 4402342006 |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2019-08-15 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
1199 DELAWARE AVE STE 107 |
| City | MARION |
| State | OH |
| Zip Code | 43302-7462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003350448 | Ethan Thomas Craig | Social Worker | 1199 Delaware Ave Ste 107, 195 N Grant Ave, Columbus, Oh 43215, Marion, OH 43302 | 2016-12-04 |
| 1770197204 | Amanda Gifford | Community Health Worker | 1199 Delaware Ave Ste 107, Marion, OH 43302-7462 | 2020-09-02 |
| 1497368872 | Bobbi Kay Bernstiel | Community Health Worker | 1199 Delaware Ave Ste 107, Marion, OH 43302-7462 | 2020-08-26 |
| 1326659947 | Twila Sue Mollett | Community Health Worker | 1199 Delaware Ave Ste 107, Marion, OH 43302-7462 | 2020-08-17 |
| 1609486463 | Rebecca Nicole Linn Aleshire | Community Health Worker | 1199 Delaware Ave Ste 107, Marion, OH 43302-7462 | 2020-08-06 |
| 1174148803 | Daniella Rios Gil | Counselor | 1199 Delaware Ave Ste 107, Marion, OH 43302-7462 | 2020-06-09 |
| 1063050508 | Amy Mourot | Case Management | 1199 Delaware Ave Ste 107, Marion, OH 43302-7462 | 2019-12-16 |
| 1407402407 | Noah Cremeans | Case Management | 1199 Delaware Ave Ste 107, Marion, OH 43302-7462 | 2019-08-15 |
| 1144876269 | Kayla Lathrop | Case Management | 1199 Delaware Ave Ste 107, Marion, OH 43302-7462 | 2019-08-14 |
| 1265094858 | Kayla Bolander | Social Worker | 1199 Delaware Ave Ste 107, Marion, OH 43302-7462 | 2019-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467094284 | Nichole Mattix | Case Management | 1199 Delaware Avenue, Marion, OH 43302 | 2019-10-14 |
| 1770138208 | Peyton Feeney | Nurse Practitioner | 1065 Delaware Ave. Ste. A, Marion, OH 43302 | 2019-08-01 |
| 1609350891 | Progressive Living, Inc | Home Health | 3523 Pleasant Hill R.d., Marion, OH 43302 | 2018-09-24 |
| 1962989400 | Adena Pennington | Community Health Worker | 320 Executive Drive, Marion, OH 43302 | 2018-07-27 |
| 1407372030 | Kelli Ann Love | Licensed Practical Nurse | 559 Uncapher Ave, Marion, OH 43302 | 2017-08-15 |
| 1063947513 | Netcare Usa LLC | In Home Supportive Care | 1275 Lake Blvd, 6, Marion, OH 43302 | 2017-04-21 |
| 1326590043 | Occupational Health Centers of Ohio, Pa, Co | Clinic/Center | 1300 Marion Agosta Road, Marion, OH 43302 | 2016-10-28 |
| 1295115459 | Bradley Neil Casto | Hearing Instrument Specialist | 864 East Center St, Marion, OH 43302 | 2015-06-03 |
| 1881003630 | Billie Roach | Home Health Aide | 182 Barkswood Rd., Marion, OH 43302 | 2014-08-06 |
| 1912320508 | Rachael Freeman | Speech-Language Pathologist | 333 East Center Street, Marion, OH 43302 | 2014-02-03 |
| Find all providers in zip 43302 | ||||
| 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 |
|---|---|---|---|---|
| 1205468279 | A Caring Alternative LLC | Community/Behavioral Health | 600 Mcdowell High Dr, Marion, NC 28752-9131 | 2020-02-07 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1548701956 | Sheila Clark | Community/Behavioral Health | 267 W Center St Apt 602, Marion, OH 43302-3679 | 2017-03-17 |
| 1548707748 | Premier Care of Indiana, Inc. | Community/Behavioral Health | 317 S Norton St, Marion, IN 46952-3296 | 2017-01-25 |
| 1144672049 | Family Preservation Services, Inc | Community/Behavioral Health | 203 N Church St, Marion, VA 24354-2701 | 2016-07-05 |
| 1730563784 | Turning Point Services, Inc. | Community/Behavioral Health | 40 4th C St, Box 1, Marion, NC 28752-7816 | 2015-07-18 |
| 1194109140 | Turning Point Services, Inc. | Community/Behavioral Health | 505 E Payne Rd, Marion, NC 28752-8676 | 2015-07-18 |
| 1831572817 | Turning Point Services, Inc. | Community/Behavioral Health | 1525 Rutherford Rd, Marion, NC 28752-5657 | 2015-07-08 |
| 1992187660 | Agr Behavior | Community/Behavioral Health | 2524 E Highway 76 Unit B, Marion, SC 29571-5301 | 2015-06-18 |
| 1730575077 | Roadmaps To Recovery Counseling Services of Midsouth | Community/Behavioral Health | 162 W Military Road, Marion, AR 72364 | 2015-04-14 |
| Find all providers in MARION | ||||
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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.