JESSICA A EBELENDER (NPI# 1255966123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255966123 |
| Entity Type | Individual |
| Full Name | JESSICA A EBELENDER |
| Practice Address |
550 W Chalmers Ave Youngstown OH 44511-1576 |
| Mailing Address |
527 N Meridian Rd Youngstown OH 44509-1227 |
| Practice Telephone | 3307970070 |
| Mailing Telephone | 3307970070 |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2020-03-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CDCA.173057 | OH | Agencies |
| Street Address |
550 W CHALMERS AVE |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44511-1576 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558598391 | Gloria J. Griffin | Counselor | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2009-06-19 |
| 1497354443 | Dylan D Wilkerson | Community/Behavioral Health | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-10-21 |
| 1528678034 | Ashley M Nagle | Counselor | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-08-10 |
| 1730790262 | Lachean D Oliver-mcrae | Licensed Practical Nurse | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-08-10 |
| 1962012757 | Brandy Lewis | Counselor | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-08-06 |
| 1285243261 | Corrie L Darocha | Counselor | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-07-27 |
| 1528694692 | Danielle K Coontz | Counselor | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-03-20 |
| 1285269423 | Kyle Puz | Community/Behavioral Health | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-03-09 |
| 1023653524 | Lauren G Holt | Counselor | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2019-11-08 |
| 1396387775 | Ieshia M Underwood | Licensed Practical Nurse | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2019-10-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396365755 | Khaled Omar | Student in an Organized Health Care Education/Training Program | Shaheed Tayar St, Zagazig, AL SHARKEYA 44511 | 2020-04-25 |
| 1720587785 | Canfield Leasing Co., LLC | Skilled Nursing Facility | 2958 Canfield Road, Youngstown, OH 44511 | 2018-02-06 |
| 1437671856 | Tyisha J Williams | Home Health | 2704 Volney Rd, Youngstown, OH 44511 | 2017-07-07 |
| 1831584234 | Tamara Ann Ramsey | Home Health Aide | 3634 Cascade Dr., Youngstown, OH 44511 | 2015-04-02 |
| 1679919153 | Amy Sue Lutz | Licensed Practical Nurse | 3970 Chaucer Ln, Youngstown, OH 44511 | 2013-05-10 |
| 1366622342 | Professional Rehab Services Inc | Physical Therapist | 4199 Kirk Rd, Youngstown, OH 44511 | 2007-11-07 |
| 1407077357 | Tamy D Mcbride | Home Health Aide | 3631 Dover Rd, Youngstown, OH 44511 | 2007-05-01 |
| 1619058229 | Joseph Michael Malys | Dentist | 3415 Canfield Rd, Youngstown, OH 44511 | 2006-10-18 |
| 1689695306 | Jennifer Lynn Flo | Podiatrist | 3507 Canfield Rd Ste 7, Youngstown, OH 44511 | 2006-07-21 |
| 1255396040 | James R Hovell | Dentist | 361 W Indianola, Youngstown, OH 44511 | 2006-04-18 |
| Find all providers in zip 44511 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235742685 | Panacea Behavior Therapy | Community/Behavioral Health | 2703 Mahoning Ave Ste 103, Youngstown, OH 44509-2337 | 2020-08-26 |
| 1861017683 | Broadway Recovery Services, Inc. | Community/Behavioral Health | 1 W Federal St Ste 1407, Youngstown, OH 44503-1421 | 2020-06-09 |
| 1104451343 | Khiree Gregory | Community/Behavioral Health | 242 Maywood Dr, Youngstown, OH 44512-1259 | 2020-03-09 |
| 1336614015 | Mahoning Valley Reentry Coalition | Community/Behavioral Health | 420 Clearmount Dr, Youngstown, OH 44511-3152 | 2018-10-09 |
| 1154875888 | Aba Therapy Solutions | Community/Behavioral Health | 125 Churchill-hubbard Rd, Youngstown, OH 44505 | 2016-08-10 |
| 1902206618 | Flying High Inc. | Community/Behavioral Health | 6 Federal Plaza Central, Suite 705, Youngstown, OH 44503-1514 | 2014-08-29 |
| 1639594195 | Faucette Child & Family Counseling | Community/Behavioral Health | 3212 Mahoning Ave, Suite 4, Youngstown, OH 44509-2600 | 2014-02-20 |
| 1447594171 | New Day Counseling & Wellness, LLC | Community/Behavioral Health | 4690 Belmont Ave, Youngstown, OH 44505-1012 | 2012-11-19 |
| 1790830172 | Youngstown Urban Minority Alcoholism and Drug Abuse Outreach Prog Inc | Community/Behavioral Health | 496 Glenwood Ave, Suite 120, Youngstown, OH 44502-1509 | 2007-01-24 |
| 1497354443 | Dylan D Wilkerson | Community/Behavioral Health | 550 W Chalmers Ave, Youngstown, OH 44511-1576 | 2020-10-21 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44511 |
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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.