ANDREW WALLACE (NPI# 1134762842) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134762842 |
| Entity Type | Individual |
| Full Name | ANDREW WALLACE |
| Credential | QMHS CMS |
| Practice Address |
195 N Grant Ave Ste 250 Columbus OH 43215-2855 |
| Mailing Address |
434 Eastland Rd Berea OH 44017-1217 |
| Practice Telephone | 4402608300 |
| Mailing Telephone | 4402342006 |
| Enumeration Date | 2019-10-25 |
| Last Update Date | 2019-10-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | OH | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255618278 | Andrew Wallace | Student in an Organized Health Care Education/Training Program | 3822 Quitman St Unit 2, Denver, CO 80212-1488 | 2011-11-04 |
| 1669960795 | Andrew Wallace | Pharmacist | 413 19th Street Ensley, Birmingham, AL 35218-1601 | 2018-04-24 |
| 1326580697 | Andrew Wallace | Physical Therapist | 730 N Hamilton St, Spokane, WA 99202-2045 | 2016-11-17 |
| 1912361502 | Andrew Nels Wallace | Internal Medicine | 1200 N Elm St, Greensboro, NC 27401-1004 | 2016-04-08 |
| 1205261468 | Andrew Kelly Wallace | Physical Therapy Assistant | 6700 Nw 10th Pl, Gainesville, FL 32605-4213 | 2013-09-06 |
| 1740626654 | Andrew Blake Wallace | Radiology | 510 S Kingshighway Blvd, Mallinckrodt Institue of Radiology, Saint Louis, MO 63110-1016 | 2013-05-18 |
| 1871880005 | Andrew Wallace | Physical Therapist | 605 Rockmead Dr, Suite 200, Kingwood, TX 77339-2254 | 2011-07-08 |
| 1174856587 | Andrew Anthony Wallace Sr. | Counselor | 1076 Santo Antonio Dr, Suite B, Colton, CA 92324-8103 | 2009-09-16 |
| Street Address |
195 N GRANT AVE STE 250 |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215-2855 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346485109 | Brandi Nicole Wolfe | Registered Nurse | 195 N Grant Ave Ste 250, Columbus, OH 43215 | 2008-12-09 |
| 1720695760 | Allison Day | Social Worker | 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 | 2020-09-24 |
| 1710592407 | Miranda Cofino | Community Health Worker | 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 | 2020-09-10 |
| 1922613827 | Veda Jo Tomich | Community Health Worker | 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 | 2020-09-09 |
| 1174137079 | Mariah R Shaffer | Social Worker | 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 | 2020-09-08 |
| 1043824089 | Julia Paxton | Community Health Worker | 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 | 2020-09-08 |
| 1891309100 | Jared M Horner | Community Health Worker | 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 | 2020-09-03 |
| 1184238792 | Raychel Edelsberg | Community Health Worker | 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 | 2020-09-01 |
| 1447863238 | Shayla Nicole Garman | Community Health Worker | 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 | 2020-08-31 |
| 1295347623 | Paul Williams | Counselor | 195 N Grant Ave Ste 250, Columbus, OH 43215-2855 | 2020-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| 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 |
|---|---|---|---|---|
| 1609473529 | Susan M Baker, Lcsw Inc | Community/Behavioral Health | 404 Washington St Ste 201-2, Columbus, IN 47201-6791 | 2020-10-04 |
| 1336753466 | Push for Recovery, LLC | Community/Behavioral Health | 3880 Clime Road, Building 2/suite A, Columbus, OH 43228-3532 | 2020-09-05 |
| 1518576693 | Unit Seven LLC | Community/Behavioral Health | 1743 Lonsdale Rd Apt C, Columbus, OH 43232-2892 | 2020-07-24 |
| 1508481037 | Basecamp Recovery LLC | Community/Behavioral Health | 815 W Broad St Fl 2, Columbus, OH 43222-1464 | 2020-06-10 |
| 1760003420 | Community Alliance for Youth and Adults LLC | Community/Behavioral Health | 2550 Chestnut Oak Way, Columbus, OH 43228-9169 | 2020-05-04 |
| 1659834489 | Transcendent Case Management & Consulting, LLC | Community/Behavioral Health | 3587 Medina Ave, Columbus, OH 43224-3418 | 2019-04-09 |
| 1639634629 | Mind Over Matter Counseling | Community/Behavioral Health | 92 Northwoods Blvd Ste C1, Columbus, OH 43235-4720 | 2019-02-05 |
| 1902360225 | Kara Lynn Mccoy | Community/Behavioral Health | 4289 Highway 78, Columbus, MT 59019-7493 | 2019-01-31 |
| 1891278321 | Everlasting Peace Counseling and Support Services | Community/Behavioral Health | 2210 Wynnton Rd Ste 206, Columbus, GA 31906-5820 | 2018-09-11 |
| 1124517081 | Sunny Watford | Community/Behavioral Health | 2525 Tiller Lane, Ste 110, Columbus, OH 43231 | 2018-05-07 |
| 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.