LOGAN MARIE GREGG (NPI# 1154970473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154970473 |
| Entity Type | Individual |
| Full Name | LOGAN MARIE GREGG |
| Practice Address |
5211 Mahoning Ave Ste 370 Austintown OH 44515-1853 |
| Mailing Address |
247 1/2 W Main St Apt 6 Ravenna OH 44266-2700 |
| Practice Telephone | 3307934724 |
| Mailing Telephone | 4195641833 |
| Enumeration Date | 2019-09-09 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA171232 | OH | Behavioral Health & Social Service Providers |
| Street Address |
5211 MAHONING AVE STE 370 |
| City | AUSTINTOWN |
| State | OH |
| Zip Code | 44515-1853 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669474037 | Youngstown Committee On Alcoholism | Clinic/Center | 5211 Mahoning Ave Ste 370, Austintown, OH 44515-1853 | 2005-08-15 |
| 1912483108 | William Odem | Case Manager/Care Coordinator | 5211 Mahoning Ave Ste 370, Austintown, OH 44515-1853 | 2018-07-11 |
| 1083123285 | Donald John Santarelli | Peer Specialist | 5211 Mahoning Ave Ste 370, Austintown, OH 44515-1853 | 2017-09-20 |
| 1124488275 | Brandon D Miller | Counselor | 5211 Mahoning Ave Ste 370, Austintown, OH 44515-1853 | 2016-03-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811505423 | Kelly Lynn Gargas | Registered Nurse | 1051 N Canfiled Niles Rd, Austintown, OH 44515 | 2020-07-20 |
| 1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
| 1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
| 1932627940 | Erin Michelle Rodgers | Occupational Therapist | 331 N. Yorkshire Blvd., Austintown, OH 44515 | 2017-08-30 |
| 1598281180 | Kathryn Elizabeth Pontius | Home Health | 209 North Yorkshire Blvd, Austintown, OH 44515 | 2017-08-16 |
| 1508387515 | Ashley Bryant | Registered Nurse | 1355 Maplecrest Dr, Youngstown, OH 44515 | 2017-06-29 |
| 1306384706 | Joyce Owens | Behavior Technician | 238 S. Meridian Rd., Austintown, OH 44515 | 2017-02-06 |
| 1982057493 | Renee K Morgan | Social Worker | 5204 Mahoning Ave Ste 105, Austintown, OH 44515 | 2016-07-20 |
| 1609266808 | Regina Leigh Cowell | Physical Therapist | 1450 South Canfield-niles Rd., Youngstown, OH 44515 | 2015-01-27 |
| 1942624507 | Susan Hogan | Speech-Language Pathologist | 245 Idaho Road Lynn Kirk Loop, Youngstown, OH 44515 | 2014-02-18 |
| Find all providers in zip 44515 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184241648 | Tashandi Magnus | Counselor | 45 N. Canfield Niles Rd., Austintown, OH 44515 | 2020-07-01 |
| 1952948325 | Wanda L Siekkinen, Ms Cdca | Counselor | 1051 N Canfield Niles Rd Ste 108, Austintown, OH 44515-1110 | 2019-12-04 |
| 1255829925 | Edward M Vancise | Counselor | 2902 Penny Lane, Austintown, OH 44515 | 2018-04-27 |
| 1821458696 | Darlene J Mrvelj | Counselor | 100 Westchester Dr Ste 1, Austintown, OH 44515-3963 | 2016-03-07 |
| 1326475245 | Sabina Zarlenga | Counselor | 1051 Canfield Niles Rd., Austintown, OH 44515 | 2013-10-09 |
| 1285245001 | Frank A Napolitano | Counselor | 5760 Patriot Blvd, Austintown, OH 44515-1170 | 2020-08-14 |
| 1942823158 | George James Rutherford | Counselor | 1051 N Canfield Niles Rd, Austintown, OH 44515-1110 | 2020-05-21 |
| 1851913040 | Natalie Priddy | Counselor | 1051 N Canfield Niles Rd, Austintown, OH 44515-1110 | 2020-05-11 |
| 1538781711 | Samuel Naples | Counselor | 1051 N Canfield Niles Rd, Austintown, OH 44515-1110 | 2020-05-11 |
| 1295362937 | Jesse E Greathouse | Counselor | 5760 Patriot Blvd, Austintown, OH 44515-1170 | 2020-03-24 |
| Find all providers in AUSTINTOWN | ||||
| City | AUSTINTOWN |
| Zip Code | 44515 |
Please comment or provide details below to improve the information on LOGAN MARIE GREGG.
| 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.