KELLY A HETRICK (NPI# 1215403266) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215403266 |
| Entity Type | Individual |
| Full Name | KELLY A HETRICK |
| Credential | QMHS-B |
| Practice Address |
1751 E Long St Columbus OH 43203-2045 |
| Mailing Address |
2000 Noble Dr Wooster OH 44691-5353 |
| Practice Telephone | 6142538050 |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2018-10-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1751 E LONG ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43203-2045 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417282757 | Volunteers of America of Greater Ohio | Community/Behavioral Health | 1751 E Long St, Columbus, OH 43203-2045 | 2009-10-05 |
| 1295333813 | Donald A Ricks Jr. | Case Manager/Care Coordinator | 1751 E Long St, Columbus, OH 43203-2045 | 2020-10-15 |
| 1831705243 | Boluwatife Onamusi | Case Manager/Care Coordinator | 1751 E Long St, Columbus, OH 43203-2045 | 2020-09-21 |
| 1104439595 | Rachel General | Counselor | 1751 E Long St, Columbus, OH 43203-2045 | 2020-08-26 |
| 1902419203 | Kelsey Hammock | Counselor | 1751 E Long St, Columbus, OH 43203-2045 | 2020-08-26 |
| 1407464019 | Julia A Feldman | Social Worker | 1751 E Long St, Columbus, OH 43203-2045 | 2020-07-20 |
| 1235751942 | Qujuan Justice Twilley | Social Worker | 1751 E Long St, Columbus, OH 43203-2045 | 2020-05-15 |
| 1619508462 | Joshua Algee | Case Manager/Care Coordinator | 1751 E Long St, Columbus, OH 43203-2045 | 2020-01-30 |
| 1063052967 | Tanice A Prince | Social Worker | 1751 E Long St, Columbus, OH 43203-2045 | 2020-01-09 |
| 1316594534 | Madison B Arbuthnot | Social Worker | 1751 E Long St, Columbus, OH 43203-2045 | 2019-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528694643 | Timothy Michael Miller | Psychiatry & Neurology | 1441 Phale D. Hale Dr., Columbus, OH 43203 | 2020-03-20 |
| 1518510155 | Michael Vilensky | Psychologist | 1441 Phale D Hale Drive, Columbus, OH 43203 | 2019-07-23 |
| 1750845160 | Bianca Bell | Counselor | 1223 Mt Vernon Ave, Columbus, OH 43203 | 2019-01-30 |
| 1902323710 | Anitra Gripper | Home Health | 442 N. Garfield Avenue, Columbus, OH 43203 | 2017-08-23 |
| 1710418900 | Sherrie Cathey | Licensed Practical Nurse | 521 Sawyer Blvd #906, Columbus, OH 43203 | 2017-03-21 |
| 1710341490 | Ann-kathrin Eisfeld | Student in an Organized Health Care Education/Training Program | 1276 Eastwood Ave, Columbus, OH 43203 | 2016-04-08 |
| 1194140921 | Chante Meadows, LLC | Community/Behavioral Health | 1000 Atcheson Street, Columbus, OHIO 43203 | 2014-03-03 |
| 1467772368 | Courtney Collins | Surgery | 181 Taylor Ave Ste 1102, Columbus, OH 43203 | 2010-06-03 |
| 1437203080 | Debra R Jones | Psychiatry & Neurology | 1620 East Broad Street, Suite 109, Columbus, OH 43203 | 2007-01-22 |
| 1841397296 | Daniel Kenneth Mcclincy | Physician Assistant | 543 Taylor Ave., Vaopc, Columbus, OH 43203 | 2006-09-20 |
| Find all providers in zip 43203 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528775 | Trinka Louise Glenn | Case Manager/Care Coordinator | 6400 E Broad St # F14, Columbus, OH 43213-2086 | 2020-11-02 |
| 1164022182 | George Atta Owusu | Case Manager/Care Coordinator | 407 Lemery Dr, Columbus, OH 43213-4482 | 2020-10-28 |
| 1669070280 | Abu Daniel Kamara | Case Manager/Care Coordinator | 2935 E Main St 9721, Columbus, OH 43209 | 2020-10-15 |
| 1346857513 | Claire Dawson | Case Manager/Care Coordinator | 2546 Billingsley Road, Columbus, OH 43235-1976 | 2020-09-30 |
| 1952918484 | Andrea Y Daniel | Case Manager/Care Coordinator | 6040 Walters Loop, Columbus, GA 31907-5368 | 2020-09-29 |
| 1962027839 | Julius A Michael | Case Manager/Care Coordinator | 1966 Hampstead Dr, Columbus, OH 43229-2714 | 2020-06-16 |
| 1912528035 | Deshaun Brown | Case Manager/Care Coordinator | 6470 Cove Creek Ct, Columbus, GA 31909-3400 | 2020-04-29 |
| 1467072074 | Medforall | Case Manager/Care Coordinator | 1500 W 3rd Ave Ste 111, Columbus, OH 43212-2890 | 2020-04-23 |
| 1366071763 | Tianna S Roberts | Case Manager/Care Coordinator | 1111 Mediterranean Ave, Columbus, OH 43229-2509 | 2020-04-07 |
| 1871127720 | Areil Mackenzie | Case Manager/Care Coordinator | 2921 Parkside Rd, Columbus, OH 43204-2543 | 2020-03-01 |
| 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.