COREY MIRT (NPI# 1255955787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255955787 |
| Entity Type | Individual |
| Full Name | COREY MIRT |
| Practice Address |
67670 Traco Dr Saint Clairsville OH 43950-9375 |
| Mailing Address |
623 Main St Wheeling WV 26003-2525 |
| Practice Telephone | 7406952131 |
| Mailing Telephone | 4126054443 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-04 |
| Gender Code | M |
| 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 |
67670 TRACO DR |
| City | SAINT CLAIRSVILLE |
| State | OH |
| Zip Code | 43950-9375 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013972470 | Vina Patel-mehta | Psychiatry & Neurology | 67670 Traco Dr, Saint Clairsville, OH 43950-9375 | 2006-04-19 |
| 1205442886 | Helena Mara Stadnik | Social Worker | 67670 Traco Dr, Saint Clairsville, OH 43950-9375 | 2020-09-19 |
| 1144830050 | Carissa Pauley | Registered Nurse | 67670 Traco Dr, Saint Clairsville, OH 43950-9375 | 2020-08-05 |
| 1053940205 | Johanna Cristine Straight | Licensed Practical Nurse | 67670 Traco Dr, Saint Clairsville, OH 43950-9375 | 2020-04-08 |
| 1912536541 | Lauren Elizabeth Hanes | Registered Nurse | 67670 Traco Dr, Saint Clairsville, OH 43950-9375 | 2020-04-06 |
| 1477189462 | Brandi Leigh White | Case Manager/Care Coordinator | 67670 Traco Dr, Saint Clairsville, OH 43950-9375 | 2020-03-21 |
| 1346874914 | Aaron K Pauley | Case Manager/Care Coordinator | 67670 Traco Dr, Saint Clairsville, OH 43950-9375 | 2020-02-23 |
| 1861032831 | John James Eberhart | Case Manager/Care Coordinator | 67670 Traco Dr, Saint Clairsville, OH 43950-9375 | 2020-01-08 |
| 1497391577 | Ashley Maria Crooks | Registered Nurse | 67670 Traco Dr, Saint Clairsville, OH 43950-9375 | 2019-11-22 |
| 1023653029 | Erin Kaye Murray | Registered Nurse | 67670 Traco Dr, Saint Clairsville, OH 43950-9375 | 2019-11-13 |
| 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 | 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 |
|---|---|---|---|---|
| 1144858242 | Shannon Nicole Palmer | Case Manager/Care Coordinator | 107 Plaza Dr Ste M-o, Saint Clairsville, OH 43950-8786 | 2020-04-01 |
| 1013479138 | Jody Lee Hoffman | Case Manager/Care Coordinator | 176 Greentree Dr, Saint Clairsville, OH 43950-1435 | 2019-04-06 |
| 1104314657 | Jorja L Johnson | Case Manager/Care Coordinator | 67925 Bayberry Dr Ste 700, Saint Clairsville, OH 43950 | 2018-04-30 |
| 1679170252 | Tracey Ann Stephen | Case Manager/Care Coordinator | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2020-10-06 |
| 1821600859 | Taylor Miller | Case Manager/Care Coordinator | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2020-08-20 |
| 1447861844 | Jennifer Thornton | Case Manager/Care Coordinator | 67925 Bayberry Dr Ste A, Saint Clairsville, OH 43950-9132 | 2020-08-11 |
| 1649808742 | Rebecca Gainer | Case Manager/Care Coordinator | 107 Plaza Dr Ste M-o, Saint Clairsville, OH 43950-8786 | 2020-04-01 |
| 1659909604 | Jordan Grimm | Case Manager/Care Coordinator | 68353 Bannock Uniontown Rd, Saint Clairsville, OH 43950-9736 | 2020-03-27 |
| 1477189462 | Brandi Leigh White | Case Manager/Care Coordinator | 67670 Traco Dr, Saint Clairsville, OH 43950-9375 | 2020-03-21 |
| 1346874914 | Aaron K Pauley | Case Manager/Care Coordinator | 67670 Traco Dr, Saint Clairsville, OH 43950-9375 | 2020-02-23 |
| Find all providers in SAINT CLAIRSVILLE | ||||
| City | SAINT CLAIRSVILLE |
| Zip Code | 43950 |
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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.