LATABIA D JOHNSON (NPI# 1093218935) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093218935 |
| Entity Type | Individual |
| Full Name | LATABIA D JOHNSON |
| Practice Address |
3920 Lovers Ln Ravenna OH 44266-4200 |
| Mailing Address |
5982 Rhodes Rd Kent OH 44240-8100 |
| Practice Telephone | 3306731347 |
| Mailing Telephone | 3306731347 |
| Enumeration Date | 2018-03-16 |
| Last Update Date | 2018-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
3920 LOVERS LN |
| City | RAVENNA |
| State | OH |
| Zip Code | 44266-4200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205954591 | Brian C. Welsh | Psychiatry & Neurology | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2007-03-26 |
| 1013515220 | Kellie Catherine Greene | Behavior Technician | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2020-10-12 |
| 1760095111 | Olivia Manna | Counselor | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2020-08-26 |
| 1932731569 | Mikayla Saffels | Case Manager/Care Coordinator | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2020-02-11 |
| 1881243988 | Armintha Ann Bryant | Case Manager/Care Coordinator | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2019-09-10 |
| 1821655226 | Kimberly Rose Chapman | Counselor | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2019-05-22 |
| 1770044521 | Rachel Ann Keller | Case Manager/Care Coordinator | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2019-03-26 |
| 1912462581 | Alexa Ann Baer | Case Manager/Care Coordinator | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2019-02-07 |
| 1033682778 | Amy Mangan | Case Manager/Care Coordinator | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2019-01-04 |
| 1487134540 | Philip Hayes | Case Manager/Care Coordinator | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2018-08-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407409501 | Jeffrey Michael Jones | Hearing Instrument Specialist | 131 E. Hain St Beltone Hearing Care Center, Ravenna, OH 44266 | 2019-07-18 |
| 1285286443 | Robert Ailes Lax | Counselor | 246 S. Chestnut St., Ravenna, OH 44266 | 2019-07-09 |
| 1841792314 | Jason Troyer | Case Manager/Care Coordinator | 3920 Lover's Lane, Ravenna, OH 44266 | 2018-03-01 |
| 1316446370 | Jacquelin Grace Claren | Case Manager/Care Coordinator | 3920 Lovers Lane, Ravenna, OH 44266 | 2018-02-06 |
| 1164921318 | Tammy M Morris | Counselor | 4771 Washington Ave., Ravenna, OH 44266 | 2018-02-02 |
| 1306360219 | Megan Kathryn Marsh | Nurse Practitioner | 3215 Menough Rd, Ravenna, OH 44266 | 2017-08-01 |
| 1063875110 | Mary Kathryn Revello | Home Health Aide | 103 N.scycamore St, Ravenna 44266, OH 44266 | 2016-04-05 |
| 1396114302 | Theresa Brooks Kotlar | Registered Nurse | 7174 Colonial Place, Ravenna, OH 44266 | 2015-09-20 |
| 1811384118 | Okap Kwon Md Inc | Internal Medicine | 964 East Main Street, Ravenna, OH 44266 | 2015-04-24 |
| 1104223783 | Julie Winkler | Speech-Language Pathologist | 639 W. Main St, Ravenna, OH 44266 | 2014-11-26 |
| Find all providers in zip 44266 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629538756 | Jessica Lorene Easterling | Peer Specialist | 6181 Cox St, Ravenna, OH 44266-1507 | 2019-03-24 |
| 1588275440 | Tanya Bierer | Peer Specialist | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2020-08-13 |
| 1578114393 | Shelly Lynn Jeffries | Peer Specialist | 3922 Lovers Ln, Ravenna, OH 44266-4200 | 2019-09-23 |
| 1326541293 | Sean Cleland | Peer Specialist | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2018-03-16 |
| 1417450388 | Rebecca Mcintyre | Peer Specialist | 3920 Lovers Ln, Ravenna, OH 44266-4200 | 2018-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
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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.