WARREN OUTPATIENT SERVICES (NPI# 1104057280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104057280 |
| Entity Type | Organization |
| Organization Name | WARREN OUTPATIENT SERVICES |
| Practice Address |
759 Columbus Ave Lebanon OH 45036-1754 |
| Practice Telephone | 5139324337 |
| Practice Fax Number | 5139326750 |
| Mailing Telephone | 5139324337 |
| Mailing Fax Number | 5139326750 |
| Enumeration Date | 2009-08-06 |
| Last Update Date | 2009-08-06 |
| Authorized Official Name | MR. SHANE MICHAEL ANDERSON (CLINICAL SERVICE PROVIDER) |
| Authorized Official Telephone | 5139324337 |
| Authorized Official Credential | LCDC III |
| Is Organization Subpart | Y |
| Parent Organization Name | TALBERT HOUSE |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982835765 | Warren Outpatient Services | Community/Behavioral Health | 759 Columbus Ave, Lebanon, OH 45036-1754 | 2009-07-28 |
| Street Address |
759 COLUMBUS AVE |
| City | LEBANON |
| State | OH |
| Zip Code | 45036-1754 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790711869 | Richard Bernard Lonnemann | Counselor | 759 Columbus Ave, Lebanon, OH 45036-1754 | 2006-06-23 |
| 1356953863 | Rachel Elizabeth Mackinder-mainous | Social Worker | 759 Columbus Ave, Lebanon, OH 45036-1754 | 2020-08-18 |
| 1528691813 | Hannah Napier | Counselor | 759 Columbus Ave, Lebanon, OH 45036-1754 | 2020-02-15 |
| 1174017008 | Elizabeth Paige Dement | Counselor | 759 Columbus Ave, Lebanon, OH 45036-1754 | 2018-06-14 |
| 1477066249 | John C. Lawson-myers | Social Worker | 759 Columbus Ave, Lebanon, OH 45036-1754 | 2017-11-14 |
| 1891208047 | Kaitlyn Walburg | Counselor | 759 Columbus Ave, Lebanon, OH 45036-1754 | 2017-11-09 |
| 1750891008 | Bethany Anne Race | Counselor | 759 Columbus Ave, Lebanon, OH 45036-1754 | 2017-10-01 |
| 1235648015 | Mark Andrew Reaves | Counselor | 759 Columbus Ave, Lebanon, OH 45036-1754 | 2017-09-25 |
| 1649642935 | Taylor Weidle | Social Worker | 759 Columbus Ave, Lebanon, OH 45036-1754 | 2015-10-26 |
| 1073994034 | Jon Krueger | Counselor | 759 Columbus Ave, Lebanon, OH 45036-1754 | 2015-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479458 | Natasha Denney Arentz | Nurse Practitioner | 5787 Oh-63, Lebanon, OH 45036 | 2019-10-21 |
| 1265086573 | Eric Stone | Counselor | 5234 Oh-63, Lebanon, OH 45036 | 2019-07-25 |
| 1548730401 | Crystal Prater | Counselor | 5234 W Sr 63, Lebanon, OH 45036 | 2018-12-04 |
| 1922574284 | Ellen L Fink | Counselor | 5234 Sr 63, Lebanon, OH 45036 | 2018-10-15 |
| 1255832275 | Primary Care Partners of Ohio | Family Medicine | 726 E Main St Ste F205, Lebanon, OH 45036 | 2018-02-25 |
| 1548769599 | Chelsea R Perkins | Case Manager/Care Coordinator | 975 Kingsview Drive Bldg B, Lebanon, OH 45036 | 2018-02-06 |
| 1184133829 | Mary Bennett | Speech-Language Pathologist | 6760 Oh St Rt. 34, Lynchburg, OH 45036 | 2017-09-26 |
| 1699292912 | Robert Earl Offutt | Counselor | 5234 State Rt.63, Lebanon, OH 45036 | 2017-08-28 |
| 1407381528 | Kari Bump | Counselor | 320 E Silver St, Lebanon, OH 45036 | 2017-04-26 |
| 1154780435 | Ohio Department of Rehabilitation and Correction | Public Health or Welfare | State Route 63, Lebanon, OH 45036 | 2016-02-16 |
| Find all providers in zip 45036 | ||||
| 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 |
|---|---|---|---|---|
| 1154895712 | Lanham Counseling | Community/Behavioral Health | 27 Court Sq, Lebanon, KY 40033-1233 | 2019-01-17 |
| 1780119305 | Recovery Defined, LLC | Community/Behavioral Health | 777 Columbus Ave Ste 7d, Lebanon, OH 45036-1684 | 2017-04-21 |
| 1952712663 | Family Preservation Services, Inc. | Community/Behavioral Health | 53 Pruner St, Lebanon, VA 24266-4235 | 2014-05-15 |
| 1568772135 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 400 Narrows Drive, Lebanon, PA 17046 | 2010-10-18 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| 1982854238 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 1825 S 5th Ave, Lebanon, PA 17042-7910 | 2008-09-23 |
| 1871743120 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 1600 Colonial Cir, Lebanon, PA 17046-1964 | 2008-09-23 |
| 1568619922 | James Dale Streiff | Community/Behavioral Health | 756 Cumberland St, Suite 3, Lebanon, PA 17042-5268 | 2008-08-27 |
| 1659528230 | Family Preservation Services, Inc | Community/Behavioral Health | George Ben Whited Drive, Lebanon, VA 24266 | 2008-08-26 |
| 1821263716 | O.c.c.s., Inc. | Community/Behavioral Health | 687 W Elm St, Lebanon, MO 65536-3568 | 2008-04-23 |
| Find all providers in LEBANON | ||||
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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.