STEPHANIE PORTER (NPI# 1073001954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073001954 |
Entity Type | Individual |
Full Name | STEPHANIE PORTER |
Credential | QMHS |
Practice Address |
273 E Jackson St Painesville OH 44077-4042 |
Practice Telephone | 4407090053 |
Mailing Telephone | 4407090053 |
Enumeration Date | 2018-04-26 |
Last Update Date | 2018-04-26 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251S00000X | Community/Behavioral Health | Agencies |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1952915118 | Stephanie Rene Porter | Technician | 2442 Fourpole Creek Rd, Isaban, WV 24846-8408 | 2020-09-04 |
1396238929 | Stephanie R Porter | Nurse Practitioner | 1459 S Higley Rd Ste 106, Gilbert, AZ 85296-5047 | 2018-06-08 |
1548289333 | Stephanie Ann Porter | Counselor | 609 N Washington St, Shelby, NC 28150-3810 | 2006-07-19 |
1386618593 | Stephanie Lynn Porter | Family Medicine | 630 E Star Ct, Montrose, CO 81401-6702 | 2006-02-14 |
1023622149 | Stephanie Lane Porter | Nurse Practitioner | 3300 Rivermont Ave, Lynchburg, VA 24503-2030 | 2020-09-04 |
1699247213 | Stephanie Mae Porter | Registered Nurse | 101 S Moore Ave, Claremore, OK 74017-5047 | 2018-12-20 |
1962989111 | Stephanie Porter | Marriage & Family Therapist | 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 | 2018-07-20 |
1033634993 | Stephanie George Porter | Registered Nurse | 270 Park Ave, Huntington, NY 11743-2787 | 2017-08-11 |
1952840894 | Stephanie Michelle Porter | Nurse Practitioner | 1101 Veterans Dr, Lexington, KY 40502-2235 | 2017-02-13 |
1396199964 | Stephanie Porter | Marriage & Family Therapist | 320 Osuna Rd Ne, Ste H-4, Albuquerque, NM 87107-5952 | 2016-04-19 |
Street Address |
273 E JACKSON ST |
City | PAINESVILLE |
State | OH |
Zip Code | 44077-4042 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336573344 | Shavaun Graves Jones | Counselor | 273 E Jackson St, Painesville, OH 44077-4042 | 2013-08-27 |
1942842679 | Antoinette Paglio | Social Worker | 273 E Jackson St, Painesville, OH 44077-4042 | 2019-10-15 |
1851876049 | Brandon Kizer | Community/Behavioral Health | 273 E Jackson St, Painesville, OH 44077-4042 | 2018-10-03 |
1538650411 | Jessica Tyler Spangler | Community/Behavioral Health | 273 E Jackson St, Painesville, OH 44077-4042 | 2018-05-25 |
1306334958 | Brett Zarbo | Community/Behavioral Health | 273 E Jackson St, Painesville, OH 44077-4042 | 2018-04-30 |
1073031639 | Olivia Ann Armand | Social Worker | 273 E Jackson St, Painesville, OH 44077 | 2017-09-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821695594 | Signature Health Inc. Pharmacy | Pharmacy | 54 South Saint Claire, Painesville, OH 44077 | 2020-10-06 |
1164053385 | Elaine Marie Nelson | Technician, Other | Cosmetic Laser Inc, 8353 Mentor Ave. Unit 7, Mentor, OH 44077 | 2020-01-27 |
1760039309 | Laura Bradford | Occupational Therapy Assistant | 12428 Concord-hambden Road, Concord, OH 44077 | 2019-08-19 |
1508418260 | Collin Dees | Physician Assistant | Tripoint Medical Center, 7590 Auburn Road, Painesville, OH 44077 | 2019-07-12 |
1093208662 | Lindsey Elaine Varckette | Physical Therapy Assistant | 60 Wood Street, Painesville, OH 44077 | 2018-06-08 |
1083116578 | Brian Mills | Hearing Instrument Specialist | 1920 Mentor Ave, Painesville, OH 44077 | 2018-03-01 |
1033610324 | Julia Nicole Chase | Pharmacist | 180 W State Street, Painesville, OH 44077 | 2018-02-22 |
1104343631 | Donna Sheahan | Nurse Practitioner | 236 Ardmore Blvd, Painesville, OH 44077 | 2017-08-25 |
1417474198 | Jacqueline Owens | Registered Nurse | 7757 Auburn Rd, Ste 6 &7, Concord Twp., OH 44077 | 2017-08-24 |
1689197303 | Michelle Claire Pierce | Registered Nurse | 311 W. Walnut Ave., Painesville, OH 44077 | 2017-07-25 |
Find all providers in zip 44077 |
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 |
---|---|---|---|---|
1699863316 | Lake County Sheriffs Office Jail Treatment Program | Community/Behavioral Health | 104 East Erie Street, Suite 320, Painesville, OH 44077-3910 | 2006-10-10 |
1740845262 | Mary E Lanham | Community/Behavioral Health | 1083 Mentor Ave, Painesville, OH 44077-1829 | 2019-05-09 |
1851876049 | Brandon Kizer | Community/Behavioral Health | 273 E Jackson St, Painesville, OH 44077-4042 | 2018-10-03 |
1427542687 | Margaret Thomas Greaves | Community/Behavioral Health | 1083 Mentor Ave, Painesville, OH 44077 | 2018-06-20 |
1538650411 | Jessica Tyler Spangler | Community/Behavioral Health | 273 E Jackson St, Painesville, OH 44077-4042 | 2018-05-25 |
1306334958 | Brett Zarbo | Community/Behavioral Health | 273 E Jackson St, Painesville, OH 44077-4042 | 2018-04-30 |
1699293571 | Jennifer Lynn Tallion | Community/Behavioral Health | 1083 Mentor Ave, Painesville, OH 44077-1829 | 2017-08-31 |
1174957815 | Western Reserve Counseling | Community/Behavioral Health | 1 Victoria Pl, Suite 105, Painesville, OH 44077-3466 | 2013-08-29 |
1538404389 | Catholic Charities Corproation | Community/Behavioral Health | 8 N State St, Suite 455, Painesville, OH 44077-3955 | 2012-12-05 |
1861672131 | Catholic Charities Corporation | Community/Behavioral Health | 8 N State St, Suite 455, Painesville, OH 44077-3955 | 2007-11-05 |
Find all providers in PAINESVILLE |
City | PAINESVILLE |
Zip Code | 44077 |
Please comment or provide details below to improve the information on STEPHANIE PORTER.
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.