DAVID KATHREIN (NPI# 1053840470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053840470 |
| Entity Type | Individual |
| Full Name | DAVID KATHREIN |
| Credential | LCDCIII |
| Practice Address |
2115 Westpark Drive Lorain OH 44052 |
| Mailing Address |
2115 W Park Dr Lorain OH 44053-1138 |
| Practice Telephone | (440) 989-4987 |
| Practice Fax Number | 4402460189 |
| Mailing Telephone | 4409894987 |
| Mailing Fax Number | 4402460189 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2019-01-15 |
| 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) |
162486 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | LICENSE | LCDCIII.161835 | 01 |
| Street Address |
2115 WESTPARK DRIVE |
| City | LORAIN |
| State | OH |
| Zip Code | 44052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194868547 | Michelle Archer | Social Worker | 2115 Westpark Drive, Lorain, OH 44053 | 2007-02-15 |
| 1619495603 | Jeffrey J Kosiba | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2017-08-30 |
| 1609391994 | Kelly Williams | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2017-08-08 |
| 1114447034 | Kimberly R Cunningham | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2017-06-21 |
| 1396271409 | Dorothy Jones | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2017-05-10 |
| 1447709225 | Margaret Tallon | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2016-09-22 |
| 1225584592 | Anita Christine Jensen | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2016-08-28 |
| 1578019857 | Jeffrey Olen | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2016-08-28 |
| 1942545751 | Rita Laudermilt | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2012-12-05 |
| 1255581914 | Karyn Tremonto | Counselor | 2115 Westpark Drive, Lorain, OH 44053 | 2008-09-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205302106 | Aurora | Home Health | 600 Broadway Ave, Lorain, OH 44052 | 2018-10-17 |
| 1790298180 | Vanessa Marie Butsko | Speech-Language Pathologist | 1051 E. St., Lorain, OH 44052 | 2017-11-08 |
| 1720504079 | Horizon Science Academy Lorain | Local Education Agency (LEA) | 760 Tower Blvd, Lorain, OH 44052 | 2017-08-18 |
| 1497285654 | Alan Golowenski | Counselor | 305 W. 20th St, Lorain, OH 44052 | 2017-06-19 |
| 1699178046 | Lizbeth Citak | Registered Nurse | 446 Florida Avenue, Lorain, OH 44052 | 2014-09-30 |
| 1497945729 | Edward Jean Suggs | Home Health Aide | 427 West 20th St, Lorain, OH 44052 | 2007-08-01 |
| 1508063090 | Niyati Pankaj Sheth | Internal Medicine | 221 W 21st Street Suite 1, Infectious Disease Physicians, Lorain, OH 44052 | 2007-06-28 |
| 1437363132 | Laurie Ann Wilson | Licensed Practical Nurse | 740 Hamilton Ave Apt 2, Lorain, OH 44052 | 2007-05-10 |
| 1942424445 | Mary Jane Harvey | Licensed Practical Nurse | 1608 Euclid Ave, Lorain, OH 44052 | 2007-04-13 |
| 1093837890 | Anna Renea Kizina | Registered Nurse | 323 Concord Drive, Lorain, OH 44052 | 2007-04-04 |
| Find all providers in zip 44052 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811411051 | Shatela R. Evans | Counselor | 3002 Brookview Dr, Lorain, OH 44053-1427 | 2017-07-31 |
| 1497285654 | Alan Golowenski | Counselor | 305 W. 20th St, Lorain, OH 44052 | 2017-06-19 |
| 1831625391 | John Corry | Counselor | 4520 Oberlin Ave Ste 2, Lorain, OH 44053-3173 | 2017-05-03 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| 1821470881 | Eva Lozano | Counselor | 2318 E 29th St, Lorain, OH 44055-2008 | 2015-06-25 |
| 1174124184 | Katherine Stipp | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2020-11-05 |
| 1730794298 | Jimmy Jay Christian | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2020-09-11 |
| 1215548185 | Alyssa L Tennant | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-08-13 |
| 1467077305 | Jonetha Ali | Counselor | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-06-16 |
| 1881217545 | Daniel Laurence Gainer | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-05-28 |
| Find all providers in LORAIN | ||||
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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.