JOHN PATRICK DESANDER (NPI# 1194234906) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194234906 |
| Entity Type | Individual |
| Full Name | JOHN PATRICK DESANDER |
| Credential | LCDC II |
| Practice Address |
255 W Main St Saint Clairsville OH 43950-1040 |
| Practice Telephone | 7406959447 |
| Mailing Telephone | 7406959447 |
| Enumeration Date | 2017-09-25 |
| Last Update Date | 2017-09-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
944147 | OH | Behavioral Health & Social Service Providers |
| Street Address |
255 W MAIN ST |
| City | SAINT CLAIRSVILLE |
| State | OH |
| Zip Code | 43950-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010908 | Haley Jo Ault | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2020-10-13 |
| 1770195281 | Ashley Palmer | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2020-08-18 |
| 1659983260 | Lawrence John Davis | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2020-08-17 |
| 1295205136 | Ernest Mcdougal | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2018-12-04 |
| 1396211587 | Crossroads Counseling Services, Inc. | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2018-10-16 |
| 1972086312 | Angela E Chick | Social Worker | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2018-09-12 |
| 1619450228 | Jeanne Carolyn Armstrong-davis | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2018-09-10 |
| 1851897201 | Christel Klara Novak | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2018-04-04 |
| 1801395363 | Tyler Jack Kilbane | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2018-02-09 |
| 1710493812 | Jacquelyn Knight | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2017-12-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212450 | Sharon Jackson | In Home Supportive Care | 52410 Summit Avenue, St. Clairsville, OH 43950 | 2020-10-16 |
| 1326657891 | Taylor Gorby | Behavior Technician | 1 Halloran Dr, St. Clairsville, OH 43950 | 2020-07-30 |
| 1023627247 | Madison Emery | Behavior Technician | 1 Holloran Drive, St Clairsville, OH 43950 | 2020-07-23 |
| 1821633439 | Jerri Mccombs | Clinical Nurse Specialist | 71200and1/2 Kagg Hill Rd, St Clairsville, OH 43950 | 2019-11-07 |
| 1053978817 | Mariah Lynn Hamilton | Behavior Technician | 1 Halloran Lane, St. Clairsville, OH 43950 | 2019-05-28 |
| 1083184717 | Maria Suzanne Shane | Behavior Technician | 1 Halloran Ln, Saint Clairsville, OH 43950 | 2018-11-26 |
| 1023592201 | Natisha Janelle Greathouse | Behavior Technician | 1 Halloran Park Lane, St Clairsville, OH 43950 | 2018-09-24 |
| 1285111039 | Bethany A Dawson | Dietitian, Registered | 66670 Anna Dr, Saint Clairsville, OH 43950 | 2018-07-24 |
| 1073004776 | Marsha M Woods | Social Worker | 67925 Bayberry Drive, Suite A, St. Clairsville, OH 43950 | 2018-05-29 |
| 1104314657 | Jorja L Johnson | Case Manager/Care Coordinator | 67925 Bayberry Dr Ste 700, Saint Clairsville, OH 43950 | 2018-04-30 |
| Find all providers in zip 43950 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063010908 | Haley Jo Ault | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2020-10-13 |
| 1770195281 | Ashley Palmer | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2020-08-18 |
| 1659983260 | Lawrence John Davis | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2020-08-17 |
| 1477106094 | Allen Crowell | Counselor | 107 Plaza Dr Ste M, Saint Clairsville, OH 43950-8735 | 2019-07-23 |
| 1518522457 | Beth Elaine Walley | Counselor | 107 Plaza Dr, Saint Clairsville, OH 43950-8786 | 2019-05-06 |
| 1295205136 | Ernest Mcdougal | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2018-12-04 |
| 1619450228 | Jeanne Carolyn Armstrong-davis | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2018-09-10 |
| 1851897201 | Christel Klara Novak | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2018-04-04 |
| 1801395363 | Tyler Jack Kilbane | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2018-02-09 |
| 1710493812 | Jacquelyn Knight | Counselor | 255 W Main St, Saint Clairsville, OH 43950-1040 | 2017-12-27 |
| Find all providers in SAINT CLAIRSVILLE | ||||
| City | SAINT CLAIRSVILLE |
| Zip Code | 43950 |
Please comment or provide details below to improve the information on JOHN PATRICK DESANDER.
| 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.