STACEY J SHOEMAKER (NPI# 1083689210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083689210 |
| Entity Type | Individual |
| Full Name | STACEY J SHOEMAKER |
| Credential | LPCC |
| Practice Address |
4440 Glen Este Withamsville Rd Suite 100 Cincinnati OH 45245-1318 |
| Practice Telephone | 5133545735 |
| Practice Fax Number | 5137537930 |
| Mailing Telephone | 5133545735 |
| Mailing Fax Number | 5137537930 |
| Enumeration Date | 2006-02-21 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E-0003347 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 01183 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629559679 | Stacey D Shoemaker | Behavior Technician | 1033 Larchwood Rd, Mansfield, OH 44907-2424 | 2018-08-28 |
| Street Address |
4440 GLEN ESTE WITHAMSVILLE RD SUITE 100 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45245-1318 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023013471 | George Theodore Shybut | Orthopaedic Surgery | 4440 Glen Este Withamsville Rd, Suite 500, Cincinnati, OH 45245-1318 | 2005-06-14 |
| 1891108809 | Emily Drees | Physical Therapist | 4440 Glen Este Withamsville Rd, Ste 500, Cincinnati, OH 45245-1318 | 2014-06-06 |
| 1770913303 | Kathryn R Tracy | Physical Therapist | 4440 Glen Este Withamsville Rd, Suite 500, Cincinnati, OH 45245-1318 | 2013-11-18 |
| 1750715587 | Mercy Health Physicians Cincinnati LLC | Durable Medical Equipment & Medical Supplies | 4440 Glen Este Withamsville Rd, Ste 500, Cincinnati, OH 45245-1318 | 2013-08-28 |
| 1548518327 | Thomas Edward Mcclanahan IIi | Physical Therapist | 4440 Glen Este Withamsville Rd, Suite 500, Cincinnati, OH 45245-1318 | 2012-08-27 |
| 1437412301 | Sean Berry | Specialist/Technologist | 4440 Glen Este Withamsville Rd, Cincinnati, OH 45245-1318 | 2012-06-16 |
| 1881955979 | Jennifer Rae Craft | Physical Therapist | 4440 Glen Este Withamsville Rd, Suite 500, Cincinnati, OH 45245-1318 | 2012-06-05 |
| 1770852170 | Jessica L. Heaton | Physician Assistant | 4440 Glen Este Withamsville Rd, Suite 500, Cincinnati, OH 45245-1318 | 2011-12-14 |
| 1205123650 | Arthur Christopher Kremer | Physical Therapist | 4440 Glen Este Withamsville Rd, Suite 500, Cincinnati, OH 45245-1318 | 2011-07-06 |
| 1699084939 | Evan R. Herdeman | Physical Therapist | 4440 Glen Este Withamsville Rd, Cincinnati, OH 45245-1318 | 2010-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437797792 | Nguyen Dentists of Eastgate, PC, Inc | Dentist | 880 Eastgate North Dr., Suite 101, Cincinnati, OH 45245 | 2019-12-18 |
| 1245871896 | Jacqueline Marie Dunker | Pharmacist | Walmart Pharmacy 1443, 4370 Eastgate Square Drive, Cincinnati, OH 45245 | 2019-10-04 |
| 1134785389 | Cei Physicians P.s.c., LLC | Clinic/Center | 601 Ivy Gateway, Suite 302, Cincinnati, OH 45245 | 2019-05-14 |
| 1225507551 | Imaging Support Services Inc | Clinic/Center | 4244 Aicholtz Road Suite D, Cincinnati, OH 45245 | 2018-11-15 |
| 1902387335 | Sarah Joy Martinez | Occupational Therapy Assistant | 4300 Glen Este-withamsville Rd, Cincinnati, OH 45245 | 2018-08-23 |
| 1376051979 | Starline Investments Inc | Ambulance | 3226 Omni Dr, Cincinnati, OH 45245 | 2018-01-17 |
| 1255842084 | Trilogy Healthcare of Clermont, LLC | Skilled Nursing Facility | 4300 Gleneste-withamsville Road, Cincinnati, OH 45245 | 2017-10-19 |
| 1467974303 | Christabel Ngwepegue Nyam | Licensed Practical Nurse | 4110 Long Acres Dr, Cincinnati, OH 45245 | 2017-07-12 |
| 1518493683 | Melody Sue King | Nursing Facility/Intermediate Care Facility | 822 Youngs Lane, Cincinnati, OH 45245 | 2017-05-10 |
| 1558715789 | Yael Joseph Garcia | Dentist | 880 Eastgate N Dr., Ste 101, Cincinnati, OH 45245 | 2016-04-13 |
| Find all providers in zip 45245 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225639610 | Denea Lois Ridley | Counselor | 1625 California Ave, Cincinnati, OH 45237-5603 | 2020-11-03 |
| 1336759497 | Hope Marie Godfrey | Counselor | 4968 Glenway Ave Ste 215, Cincinnati, OH 45238-3902 | 2020-08-04 |
| 1649894742 | Monica Hedges | Counselor | 109 W 66th St, Cincinnati, OH 45216-1949 | 2020-06-04 |
| 1417578659 | Alexandra Harmeyer | Counselor | 4250 Williamson Pl, Cincinnati, OH 45223-2112 | 2020-04-28 |
| 1720607500 | Monica Louise Mertens | Counselor | 3973 Hopper Hill Rd, Cincinnati, OH 45255-4945 | 2020-04-13 |
| 1477172658 | Jennifer Lynn Adamson | Counselor | 6414 Werk Rd, Cincinnati, OH 45248-2927 | 2020-04-08 |
| 1861024473 | Lishawn Scott | Counselor | 1831 Andina Ave, Cincinnati, OH 45237-6015 | 2020-02-11 |
| 1043851330 | Melissa Boyd Frye | Counselor | 1095 Nimitzview Dr Ste 302a, Cincinnati, OH 45230-4341 | 2019-10-08 |
| 1114577178 | Elizabeth Mensah Buah | Counselor | 2563 Keysport Ln, Cincinnati, OH 45231-1144 | 2019-09-12 |
| 1629627765 | Counseling Center of Cincinnati, LLC | Counselor | 38 Triangle Park Dr # 11, Cincinnati, OH 45246-3421 | 2019-09-11 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45245 |
Please comment or provide details below to improve the information on STACEY J SHOEMAKER.
| 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.