CORNELL ABRAXAS GROUP, INC (NPI# 1134385669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134385669 |
| Entity Type | Organization |
| Organization Name | CORNELL ABRAXAS GROUP, INC |
| Other Organization Name | ABRAXAS COUNSELING CENTER |
| Practice Address |
899 E Broad St Columbus OH 43205-1156 |
| Mailing Address |
2775 State Route 39 Shelby OH 44875-9466 |
| Practice Telephone | 4197470819 |
| Practice Fax Number | 2816579702 |
| Mailing Telephone | 6144588647 |
| Mailing Fax Number | 2816579702 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2012-03-14 |
| Authorized Official Name | MS. INEZ FERRANTE (BUSINESS MANAGER) |
| Authorized Official Telephone | 4197473322 |
| Is Organization Subpart | Y |
| Parent Organization Name | CORNELL ABRAXAS GROUP, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 0680 | OH | Residential Treatment Facilities |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
012790 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2876928 | 05 | |
| OH | 12790 | 05 | |
| OH | 6967 | 05 |
| Other Name | Type Code |
|---|---|
| Abraxas Counseling Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194164442 | Cornell Abraxas Group, Inc | Psychiatric Residential Treatment Facility | 165 Abraxas Rd, Marienville, PA 16239-0059 | 2013-06-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| North Carolina Corporation | Cornell Abraxas Group, Inc. | 621 NW 53rd St Ste 700 , Boca Raton, FL 33487 |
| Colorado Business Entity | CORNELL ABRAXAS GROUP, INC. | 621 NW 53rd Street, Suite 700 , Boca Raton, FL 33487 |
| Street Address |
899 E BROAD ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43205-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982672200 | Brandon Collins Strange | Pediatrics | 899 E Broad St, 3rd Floor, Columbus, OH 43205-1156 | 2006-03-11 |
| 1912516451 | Access Behavioral LLC | Clinic/Center | 899 E Broad St, Columbus, OH 43205-1156 | 2020-07-30 |
| 1093379919 | Restoring Our Own Through Transformation | Clinic/Center | 899 E Broad St, Columbus, OH 43205-1156 | 2019-04-25 |
| 1447740212 | Paul David Rogers | Counselor | 899 E Broad St, Columbus, OH 43205-1156 | 2018-05-16 |
| 1265921167 | Leianella D Darling | Case Manager/Care Coordinator | 899 E Broad St, Columbus, OH 43205-1156 | 2018-05-07 |
| 1639668544 | Kadida Thompson | Case Manager/Care Coordinator | 899 E Broad St, Columbus, OH 43205-1156 | 2018-05-07 |
| 1356847305 | Laurie Renee Ferebee | Counselor | 899 E Broad St, Columbus, OH 43205-1156 | 2018-03-30 |
| 1063917185 | Karee Stemm | Social Worker | 899 E Broad St, Columbus, OH 43205-1156 | 2018-03-29 |
| 1568967040 | Dana Lynn Caldwell | Counselor | 899 E Broad St, Columbus, OH 43205-1156 | 2018-03-27 |
| 1265937817 | Celeste D Jones | Social Worker | 899 E Broad St, Columbus, OH 43205-1156 | 2018-03-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750909404 | Celine Richard | Otolaryngology | Pediatric Ent Department, Nationwide Children's Hospita, 700 Children's Dr., Columbus, OH 43205 | 2020-07-09 |
| 1295351872 | Christina Cotterman | Nurse Practitioner | 700 Children Dr, Columbus, OH 43205 | 2020-06-19 |
| 1740847946 | John M Williamson | Nurse Practitioner | 1441 Phale D. Hale, Columbus, OH 43205 | 2019-05-22 |
| 1811486699 | Kathy L Carter | Case Manager/Care Coordinator | 899 E. Broad Street Ste 150, Columbus, OH 43205 | 2018-05-07 |
| 1174012512 | Erin Crist | Genetic Counselor, MS | 700 Childrens Dr # T4d, Columbus, OH 43205 | 2018-05-01 |
| 1417451782 | Kimberly Banner | Case Manager/Care Coordinator | 1490 E Main Street, Columbus, OH 43205 | 2018-03-21 |
| 1336641539 | Nitisha Y Burkhead | Social Worker | 700 Chidren's Dr., Columbus, OH 43205 | 2018-03-02 |
| 1568981496 | Chris Allen York I | Counselor | 3035 W. Broad Steert, Arizona Counseling & Consultation, Columbus, OH 43205 | 2017-09-12 |
| 1144774407 | Tyler Rolfes | Nurse Practitioner | 444 Butterfly Gardens Dr., Columbus, OH 43205 | 2016-08-04 |
| 1902257876 | George Michael Ziegler | Pediatrics | 611 E Livingston Ave, Section of Neonatology, Columbus, OH 43205 | 2016-06-22 |
| Find all providers in zip 43205 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
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|---|---|---|---|---|
| 1043785751 | Linden Focus | Clinic/Center | 1570 Cleveland Ave Ste 2, Columbus, OH 43211-2755 | 2018-10-09 |
| 1801337423 | Freedom Recovery LLC | Clinic/Center | 4998 W Broad St Ste 104, Columbus, OH 43228-1647 | 2017-03-15 |
| 1477835296 | Talbott Recovery Campus | Clinic/Center | 1200 Brookstone Ctr, Columbus, GA 31904 | 2011-09-19 |
| 1316238728 | Dr Mauricelmlei Millere, Dd Bmh Cpc Cc, Counseling Services | Clinic/Center | 3007 Quinby Dr, Columbus, OH 43232-4757 | 2011-04-20 |
| 1013139229 | Pavillon International Outpatient Services | Clinic/Center | 801 W Mills St, Columbus, NC 28722-8494 | 2007-05-03 |
| 1730792524 | Five Points Recovery LLC | Clinic/Center | 2575 W Broad St, Columbus, OH 43204-3333 | 2020-08-31 |
| 1659910685 | Teasia Tarver | Clinic/Center | 1791 Alum Creek Dr, Columbus, OH 43207-1708 | 2019-12-20 |
| 1295379337 | Milestone Addiction Counseling LLC | Clinic/Center | 106 N Murray Hill Rd, Columbus, OH 43228-1524 | 2019-11-01 |
| 1699289637 | Eden Behavioral Health Residential Treatment Center | Clinic/Center | 5460 Cleveland Ave, Columbus, OH 43231-4005 | 2017-11-29 |
| 1225573090 | Ohio Addiction Recovery Center | Clinic/Center | 1151 S High St, Columbus, OH 43206-3434 | 2017-01-03 |
| Find all providers in COLUMBUS | ||||
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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.