DEIDRE L. BROOKE (NPI# 1083968754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083968754 |
| Entity Type | Individual |
| Full Name | DEIDRE L. BROOKE |
| Other Name | DEIDRE L. STOHR |
| Credential | PC |
| Practice Address |
65 Messimer Dr Newark OH 43055-1874 |
| Mailing Address |
Po Box 4670 Newark OH 43058-4670 |
| Practice Telephone | 7405228477 |
| Practice Fax Number | 7407883424 |
| Mailing Telephone | 7405228477 |
| Mailing Fax Number | 7407883424 |
| Enumeration Date | 2012-11-02 |
| Last Update Date | 2014-11-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C.0800136 | OH | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
C.0800136-CR | OH | Behavioral Health & Social Service Providers |
| Street Address |
65 MESSIMER DR |
| City | NEWARK |
| State | OH |
| Zip Code | 43055-1874 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679571913 | Phillip Borders | Psychiatry & Neurology | 65 Messimer Dr, Newark, OH 43055-1874 | 2005-07-11 |
| 1275132557 | Ashley Thompson | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-10-19 |
| 1699382093 | Sydney E Marvin | Counselor | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-09-29 |
| 1558976373 | Taylor M Wright | Social Worker | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-09-09 |
| 1659981892 | Anne M Underwood | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-08-03 |
| 1619586195 | Adelle Keller | Nurse Practitioner | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-07-30 |
| 1740898543 | Kaitlyn Nicole Merringer | Social Worker | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-07-17 |
| 1649896564 | James D Armour | Counselor | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-06-17 |
| 1538792759 | Laurie Gray | Licensed Practical Nurse | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-02-17 |
| 1851923304 | Kelly Schuhurt | Case Manager/Care Coordinator | 65 Messimer Dr, Newark, OH 43055-1874 | 2020-02-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770125585 | Jessica Danielle Dunkle | Case Manager/Care Coordinator | 15 N 3rd Street Suite 300, Newark, OH 43055 | 2019-10-14 |
| 1558910331 | Diana Cleland | Home Health Aide | 25 Western Rd, Apartment A, Newark, OH 43055 | 2019-09-05 |
| 1912424789 | Sandra Lou Fraley | Community/Behavioral Health | 15 North 3rd Street, Suite 300, Newark, OH 43055 | 2017-08-23 |
| 1215450911 | Caitlyn Thella Smith Elkins | Social Worker | 15 N. 3rd St., Newark, OH 43055 | 2017-07-25 |
| 1992227888 | Sierra Elizabeth Donley | Student in an Organized Health Care Education/Training Program | 140 W Church St, Newark, OH 43055 | 2017-07-12 |
| 1386170587 | Patricia Louise Fischer | Pharmacist | 1155 North 21rst Street, Newark, OH 43055 | 2017-05-08 |
| 1689120958 | Bebout Services, LLC | Home Health | 1325 Dayton Road Ne, Newark, OH 43055 | 2016-08-28 |
| 1750834594 | Laura Smith | Registered Nurse | 1445 West Main Street, Suite B, Newark, OH 43055 | 2016-07-28 |
| 1164807277 | Frank Kobe | Psychologist | 116 N. 21st Street, Newark, OH 43055 | 2015-07-30 |
| 1770975898 | Gentle Foot Care, Inc | Podiatrist | 1271 W Main Street, Bldg 1, Newark, OH 43055 | 2015-02-26 |
| Find all providers in zip 43055 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568077899 | Ramiro Furtado Correia | Counselor | 482 Summer Ave Apt 403, Newark, NJ 07104-2934 | 2020-09-14 |
| 1588272561 | Leah Ann Pollock | Counselor | 5 Strauss Way, Newark, DE 19702-3014 | 2020-07-16 |
| 1134747272 | Kobie Blair Morgan | Counselor | Kobie Blair Morgan, Esq., Mba, Ma, Lpc, 76-78 First Street, Suite 3, Newark, NJ 07107 | 2020-07-06 |
| 1669013413 | Kimberly Fleischer | Counselor | 519 Post Oak Dr, Newark, TX 76071-3141 | 2019-10-03 |
| 1801441795 | Turning Corners-hand In Hand, LLC | Counselor | 256 Chapman Rd Ste 105-6, Newark, DE 19702-5499 | 2019-08-07 |
| 1285289223 | Jessica Dawn Seidel | Counselor | 106 Watering Hole, Newark, TX 76071-4333 | 2019-08-06 |
| 1235640673 | First State Behavioral Health Center | Counselor | 260 Chapman Rd Ste 200-1, Newark, DE 19702-5490 | 2017-10-12 |
| 1124555305 | Ronald Tello-marzol | Counselor | 2 Rolling Dr, Newark, DE 19713-2020 | 2017-05-18 |
| 1619320462 | Stella Diai | Counselor | 72 Holland St, Newark, NJ 07103-2029 | 2016-07-18 |
| 1215318415 | Chantel Bratcher | Counselor | 31 Phoenix Ave, Newark, DE 19702-2406 | 2015-06-12 |
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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.