KRYSTAL L GESICKI (NPI# 1285094755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285094755 |
| Entity Type | Individual |
| Full Name | KRYSTAL L GESICKI |
| Credential | LISW, LICDC |
| Practice Address |
246 Northland Dr Ste 200a Medina OH 44256-3440 |
| Practice Telephone | 3307259195 |
| Practice Fax Number | 3307259187 |
| Mailing Telephone | 3307259195 |
| Mailing Fax Number | 3307259187 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LICDC.161416 | OH | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
S1200918 | OH | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
I.1600727-SUPV | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0192132 | 05 | |
| OH | LICENSE | I.1600727-SUPV | 01 |
| OH | LICENSE | LICDC.161416 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2115 W Park Dr, Lorain, OH 440531138 | 4409894987 | 4402824779 |
| Street Address |
246 NORTHLAND DR STE 200A |
| City | MEDINA |
| State | OH |
| Zip Code | 44256-3440 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164476461 | Eric Michael Steiner | Social Worker | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2006-05-20 |
| 1386242188 | Kristen Day | Case Manager/Care Coordinator | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2020-10-14 |
| 1356949176 | Sarah Ballash | Case Manager/Care Coordinator | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2020-10-14 |
| 1316550312 | Sheryl Wacker | Social Worker | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2020-08-28 |
| 1316575368 | Laura Blake | Social Worker | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2020-03-27 |
| 1780218842 | Janna Litman | Case Manager/Care Coordinator | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2020-02-27 |
| 1598398679 | Grace Williamson | Counselor | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2020-02-18 |
| 1073143616 | Jasmine Myers | Case Manager/Care Coordinator | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2020-01-23 |
| 1396375549 | Rhianna Hengartner | Counselor | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2020-01-16 |
| 1558901611 | Jennifer Divelbiss | Licensed Practical Nurse | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2020-01-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215577408 | Phil Mcclelland | Counselor | 520 Miller Dr, Medina, OH 44256 | 2020-01-15 |
| 1619519444 | Lauren Marie Blakney | Nurse Practitioner | 970 E Washington St., Medina, OH 44256 | 2019-10-14 |
| 1558922286 | Jennifer Sue Arhin | Nurse Practitioner | 807 E Washington St., Ste 220, Medina, OH 44256 | 2019-06-24 |
| 1891263927 | Jena Christine Palmer | Nurse Practitioner | 817 E Washington Street, Medina, OH 44256 | 2018-11-07 |
| 1154849891 | Janelle Liggett-schultz | Licensed Practical Nurse | 8170 Coon Club Rd, Medina, OH 44256 | 2017-09-01 |
| 1942725478 | Amanda Kay Byrne | Registered Nurse | 1000 Concord Dr., Medina, OH 44256 | 2017-08-05 |
| 1821526922 | Melissa Marie Rutti | Nurse Practitioner | 111 Reagan Pkwy, Medina, OH 44256 | 2017-06-01 |
| 1992238919 | Lisa Scherler | Speech-Language Pathologist | 3880 Ridge Rd., Medina, OH 44256 | 2017-04-06 |
| 1770026502 | Victoria Lee Ayala | Speech-Language Pathologist | 390 Fair Street, Berea, OH 44256 | 2016-11-28 |
| 1982076626 | Finding Your Identity LLC | Community/Behavioral Health | 124 West Lafayette Road, Suite 100, Medina, OH 44256 | 2015-10-21 |
| Find all providers in zip 44256 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181661 | Sonya Carol Goodrich | Social Worker | 320 Spring Creek Hwy, Medina, TN 38355-9779 | 2020-10-13 |
| 1992369813 | Courtney Michelle Ott | Social Worker | 111 Glenshire Ln, Medina, OH 44256-8165 | 2019-04-25 |
| 1720544299 | Swan Counseling LLC | Social Worker | 750 E Washington St Ste D2, Medina, OH 44256-2137 | 2019-02-20 |
| 1770055709 | Christine M Gemberling | Social Worker | 3591 Reserve Commons Dr Ste 3013591, Medina, OH 44256-5334 | 2019-01-02 |
| 1174006027 | Marian Heyink | Social Worker | 1133 Granger Rd, Medina, OH 44256-8478 | 2018-09-06 |
| 1184089583 | Julianne Foster | Social Worker | 246 Northland Dr Ste 130, Medina, OH 44256-3440 | 2015-12-30 |
| 1154740173 | Connections Family Counseling LLC | Social Worker | 799 N Court St, Suite 3, Medina, OH 44256-1765 | 2014-04-08 |
| 1851533673 | Bridget Simone Richard | Social Worker | 323 S Court St Ste 210, Medina, OH 44256-3715 | 2009-03-25 |
| 1528282506 | Kristin Leigh Fox | Social Worker | 1065 Medina Rd Ste 300, Medina, OH 44256-5374 | 2007-04-12 |
| 1144233271 | Rolf Edwin Wicks | Social Worker | 445 W Liberty St, Suite 225, Medina, OH 44256-2273 | 2006-08-13 |
| Find all providers in MEDINA | ||||
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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.