JAN A HAIRSTON (NPI# 1285874081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285874081 |
| Entity Type | Individual |
| Full Name | JAN A HAIRSTON |
| Other Name | JAN A BLACK |
| Credential | M.ED., LPCC-S |
| Practice Address |
5930 Heisley Rd Mentor OH 44060-1834 |
| Practice Telephone | 4403549924 |
| Practice Fax Number | 4403545808 |
| Mailing Telephone | 4403549924 |
| Mailing Fax Number | 4403545808 |
| Enumeration Date | 2009-03-06 |
| Last Update Date | 2009-03-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
E0001655 | OH | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
E0001655 | OH | Behavioral Health & Social Service Providers |
| Street Address |
5930 HEISLEY RD |
| City | MENTOR |
| State | OH |
| Zip Code | 44060-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275588808 | Neighboring | Clinic/Center | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2006-05-23 |
| 1588077184 | Ginger L Yanchar | Social Worker | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2014-06-11 |
| 1568712503 | Meghan A Bileci | Social Worker | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2012-09-18 |
| 1225388689 | Kristen J Mizumoto | Nurse Practitioner | 5930 Heisley Rd, Neighboring, Mentor, OH 44060-1834 | 2012-09-13 |
| 1164771028 | Jaclyn Mach | Social Worker | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2012-09-06 |
| 1881983344 | Tracey Denise Filipasic | Counselor | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2011-04-05 |
| 1740587336 | Wendy J Kelley | Social Worker | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2011-02-17 |
| 1922286848 | Robert Joseph Burns | Psychologist | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2008-02-01 |
| 1558544601 | Susan Marie Hayes-alghusain | Counselor | 5930 Heisley Rd, Mentor, OH 44060-1834 | 2007-12-12 |
| 1306041405 | Nanci Pane | Social Worker | 5930 Heisley Rd, Mentor, OH 44060 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093364143 | Pamela Adams | Technician | 6079 Center St, Mentor, OH 44060 | 2019-09-10 |
| 1255800298 | Brittani Joy Lumpkin | Community/Behavioral Health | 9220 Mentor Road., Mentor, OH 44060 | 2018-11-20 |
| 1043726763 | Sharon Bollinger | Counselor | 7232 Tyler Blvd., Mentor, OH 44060 | 2017-12-18 |
| 1255863635 | Mentor Health and Rehabilitation Center, Inc. | Skilled Nursing Facility | 8151 Norton Pkwy, Mentor, OH 44060 | 2017-04-03 |
| 1144695933 | Kirsten Lorek | Specialist/Technologist | 8400 Paddock Ct, Mentor, OH 44060 | 2015-12-06 |
| 1346638848 | Darlean Williams | Licensed Practical Nurse | 6477 Center Street, Mentor High School, Mentor, OH 44060 | 2015-01-06 |
| 1316357130 | Kathryn Arnette Romo | Speech-Language Pathologist | 6451 Center Street, Mentor Exempted Village Schools, Mentor, OH 44060 | 2014-05-01 |
| 1730599705 | Marianne. P. Kostiha | Registered Nurse | 6451 Center St., Mentor Public Schools, Mentor, OH 44060 | 2014-04-30 |
| 1558788190 | Jeanne Marie Markusic | Physical Therapist | 7687 Ellington Pl, Mentor, OH 44060 | 2014-03-20 |
| 1477979391 | Center for Advanced Vein Care LLC | Emergency Medicine | 7200 Mentor Avenue, Mentor, OH 44060 | 2014-03-17 |
| Find all providers in zip 44060 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699398388 | Stellasdream Art Therapy & Counseling | Counselor | 8500 Station St Ste 112, Mentor, OH 44060-4962 | 2020-05-28 |
| 1679091326 | Sara R Cicchinelli | Counselor | 7519 Mentor Ave Ste 211, Mentor, OH 44060-5434 | 2017-09-01 |
| 1982139002 | Melinda Stewart | Counselor | 8500 Station St, Suite 101, Mentor, OH 44060-4943 | 2017-04-26 |
| 1134436785 | Megan Bohinc | Counselor | 8701 Mentor Avenue, Mentor, OH 44060 | 2010-09-02 |
| 1174748776 | Elena Marie Difranco | Counselor | 7342 Hopkins Rd, Mentor, OH 44060-7001 | 2007-04-17 |
| 1003420076 | Theresa Gill | Counselor | 7232 Justin Way, Mentor, OH 44060 | 2020-09-07 |
| 1306317623 | Yiannoula Sarris | Counselor | 8701 Mentor Ave, Mentor, OH 44060-6103 | 2018-12-14 |
| 1033695499 | Richard E Jenkins | Counselor | 7232 Justin Way, Mentor, OH 44060-4881 | 2018-07-18 |
| 1295227718 | Jamie Lynn Brant | Counselor | 7519 Mentor Ave Ste 114, Mentor, OH 44060-5410 | 2018-05-31 |
| 1023566270 | Sara Ann Trembath | Counselor | 8351 Mentor Ave, Mentor, OH 44060-5749 | 2016-09-16 |
| Find all providers in MENTOR | ||||
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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.