BRANDON PETTRY (NPI# 1174134001) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174134001 |
| Entity Type | Individual |
| Full Name | BRANDON PETTRY |
| Practice Address |
750 Abbe Rd S Elyria OH 44035-7246 |
| Practice Telephone | 4403235121 |
| Mailing Telephone | 4403235121 |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2020-08-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
750 ABBE RD S |
| City | ELYRIA |
| State | OH |
| Zip Code | 44035-7246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427088145 | Mary Margaret Migra | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2006-07-05 |
| 1417594839 | Heather Barlow | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2019-12-04 |
| 1467002840 | Megan Kiss | Social Worker | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2019-09-17 |
| 1154971539 | Heather Sherrill | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2019-09-17 |
| 1124678503 | Jennifer Beach | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2019-09-17 |
| 1174176358 | Brendon Mclellan | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2019-07-17 |
| 1487149209 | Richard Ellis Banas | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2018-06-25 |
| 1316432131 | Diana Santantonio Ed.s and Associates, LLC | Community/Behavioral Health | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2018-06-25 |
| 1457846271 | Jerome Francis Kiffer | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2018-06-25 |
| 1467941351 | Chelsea Kelligher | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2018-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013514546 | Monica Sue Lane | Homemaker | 244 13th St, Elyria, OH 44035 | 2020-10-07 |
| 1457958993 | Joaquin Deandre Page | Homemaker | 116 Parkview Ct, Elyria, OH 44035 | 2020-10-07 |
| 1740887751 | Kelley Jean Duga | Home Health Aide | 46058 Russia Rd, Elyria, OH 44035 | 2020-10-02 |
| 1407477946 | Ashley Langer | Nurse Practitioner | 660 E Broad St, Elyria, OH 44035 | 2020-05-06 |
| 1518593730 | Scott Michael Hartman | Nurse Practitioner | 630 East River Streer, Elyria, OH 44035 | 2020-03-19 |
| 1609415793 | Melanie Scott | Registered Nurse | 830 East Broad St, Uh Hospitals Elyria, Elyria, OH 44035 | 2020-01-06 |
| 1922647478 | Hyatt Family Dental, LLC | Dentist | 301 East Avenue, Elyria, OH 44035 | 2020-01-02 |
| 1255988051 | Ashlee Marie Reale | Student in an Organized Health Care Education/Training Program | 347 Middle Blvd #210, Elyria, OH 44035 | 2019-08-26 |
| 1821656380 | Amber Mahone | Case Manager/Care Coordinator | 342 Midway Blvd Ste 210, Elyria, OH 44035 | 2019-05-30 |
| 1548788151 | Robin Lee Newhart | Physical Therapist | 1885 Lake Avenue, Elyria, OH 44035 | 2017-09-03 |
| Find all providers in zip 44035 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013424910 | Robin D. Rush | Counselor | 660 Augdon Dr, Elyria, OH 44035-3032 | 2018-01-02 |
| 1487068433 | Adam Karam | Counselor | 486 Abbe Rd N, Elyria, OH 44035-3707 | 2014-06-18 |
| 1003042524 | Elizabeth Wolanski | Counselor | 347 Midway Blvd., Suite #200, Elyria, OH 44035 | 2009-06-10 |
| 1548292261 | Rosezina Meadows | Counselor | 750 Abbe Road, Elyria, OH 44035-7246 | 2006-07-06 |
| 1326675323 | Hilary A Rieman | Counselor | 457 Griswold Rd, Elyria, OH 44035-2304 | 2020-03-27 |
| 1124678503 | Jennifer Beach | Counselor | 750 Abbe Rd S, Elyria, OH 44035-7246 | 2019-09-17 |
| 1528538691 | Julie Ann Sheets | Counselor | 1131 E Broad St, Elyria, OH 44035-6305 | 2018-11-30 |
| 1255859666 | Catherine Potesta | Counselor | 347 Midway Blvd Ste 200, Elyria, OH 44035-2496 | 2017-09-06 |
| 1588118012 | Danielle Renee Ries | Counselor | 312 3rd St, Elyria, OH 44035-5618 | 2016-08-13 |
| 1508225459 | Audrey Jean Tate | Counselor | 347 Midway Blvd, Suite 200, Elyria, OH 44035-9006 | 2016-02-21 |
| Find all providers in ELYRIA | ||||
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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.