WINGS ENRICHMENT CENTER (NPI# 1104213925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104213925 |
| Entity Type | Organization |
| Organization Name | WINGS ENRICHMENT CENTER |
| Other Organization Name | WINGS SUPPORT AND RECOVERY |
| Practice Address |
729 S Walnut St Marysville OH 43040-1643 |
| Practice Telephone | 9376429555 |
| Practice Fax Number | 9377387326 |
| Mailing Telephone | 9376429555 |
| Mailing Fax Number | 9377387326 |
| Enumeration Date | 2015-04-20 |
| Last Update Date | 2020-09-24 |
| Authorized Official Name | MR. JULLIAN GRIESHEIMER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 9376429555 |
| Authorized Official Credential | LICDC, LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Wings Support and Recovery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669940995 | Wings Enrichment Center | Counselor | 729 S Walnut St, Marysville, OH 43040-1643 | 2018-11-05 |
| Street Address |
729 S WALNUT ST |
| City | MARYSVILLE |
| State | OH |
| Zip Code | 43040-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659988251 | Mindy Crowe | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-09-28 |
| 1093327314 | Tracie Renea Nelson | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-08-18 |
| 1104438423 | Danika Phipps | Behavior Technician | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-08-18 |
| 1184252652 | Donald W Warneke | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-31 |
| 1801424320 | Noel Edgar Brown | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-30 |
| 1639707128 | Shawn Kevin Ryan | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-30 |
| 1073141560 | Jeffrey Brian Egelhoff | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-30 |
| 1225666720 | Kristi Lynn Inskeep | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-30 |
| 1033747530 | Patricia Lentz | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-30 |
| 1699303313 | Karla Marguerite Boyle | Peer Specialist | 729 S Walnut St, Marysville, OH 43040-1643 | 2020-03-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526951 | Amy Crain | In Home Supportive Care | 11555 Us Rt. 36, Marysville, OH 43040 | 2020-10-22 |
| 1669955415 | Kevin Decot | Acupuncturist | 211 Stocksdale Drive, Marysville, OH 43040 | 2018-09-07 |
| 1063941417 | Luke Schweiss Dmd Inc. | Dentist | 951 N Maplestreet, Marysvile, OH 43040 | 2017-06-08 |
| 1962943480 | Mande Postle | Social Worker | 16920 Square Dr., Marysville, OH 43040 | 2017-03-16 |
| 1902341688 | John Edward Kleinman | Specialist | 1361 Oak Knoll Court, Marysville, OH 43040 | 2017-01-04 |
| 1598211096 | Cynthia Marie Oberdier | Massage Therapist | 16501 Square Dr, Marysville, OH 43040 | 2016-08-25 |
| 1861946535 | Michele Hope Miley-scott | Counselor | 18200 St Rt 4r, Marysville, OH 43040 | 2016-08-10 |
| 1508219015 | Tonya M Grubb | Private Vehicle | 670 Rainbow Dr, Marysville, OH 43040 | 2016-07-20 |
| 1346636826 | Tara L Nickle | Social Worker | 1479 Collins Ave., Ohio Reformatory for Women, Marysville, OH 43040 | 2015-04-10 |
| 1134547615 | Ryan E Hunt | Family Medicine | 140 Coleman's Crossing Blvd, Suite 110, Marysville, OH 43040 | 2014-04-02 |
| Find all providers in zip 43040 | ||||
| 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 |
|---|---|---|---|---|
| 1164059739 | Lifebio | Community/Behavioral Health | 232 N Main St Ste 2j, Marysville, OH 43040-1138 | 2020-03-24 |
| 1104457720 | Alliance Behavioral Health Inc. LLC | Community/Behavioral Health | 1961 Bobtail Ln, Marysville, OH 43040-7020 | 2020-02-02 |
| 1710486170 | County of Sutter | Community/Behavioral Health | 8 7th Street, Marysville, CA 95901 | 2018-02-12 |
| 1518487289 | County of Sutter | Community/Behavioral Health | 215 5th St Ste 154, Marysville, CA 95901-5737 | 2017-06-23 |
| 1962774216 | Lynae Marie Swinheart | Community/Behavioral Health | 6418 66th Pl Ne, Marysville, WA 98270 | 2012-02-02 |
| 1275742405 | Yuba County Children and Families At Risk Program | Community/Behavioral Health | 209 6th Street, Marysville, CA 95901 | 2007-05-22 |
| 1073602835 | Blue Water Developmental Housing Inc. | Community/Behavioral Health | 1600 Gratiot Blvd Bldg A, Marysville, MI 48040-1145 | 2006-10-12 |
| 1093366411 | County of Sutter | Community/Behavioral Health | 120 5th St, Marysville, CA 95901-5734 | 2019-09-26 |
| 1417322413 | County of Sutter | Community/Behavioral Health | 5730 Packard Ave, Suite 600, Marysville, CA 95901-7118 | 2015-12-02 |
| 1295125433 | Lloyd Human Services, LLC | Community/Behavioral Health | 1020 Hunter Ct, Marysville, MI 48040-2061 | 2015-01-26 |
| Find all providers in MARYSVILLE | ||||
| City | MARYSVILLE |
| Zip Code | 43040 |
Please comment or provide details below to improve the information on WINGS ENRICHMENT CENTER.
| 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.