CREST BEHAVIORAL HEALTHCARE (NPI# 1295250736) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295250736 |
| Entity Type | Organization |
| Organization Name | CREST BEHAVIORAL HEALTHCARE |
| Practice Address |
11100 State Route 550 Athens OH 45701-8839 |
| Mailing Address |
10102 Grass Run New Marshfield OH 45766-9727 |
| Practice Telephone | 7405179272 |
| Mailing Telephone | 7408569936 |
| Enumeration Date | 2017-08-05 |
| Last Update Date | 2018-06-16 |
| Authorized Official Name | AMY M SEE (COO) |
| Authorized Official Telephone | 7408569936 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
OH | Behavioral Health & Social Service Providers | |
| N | 251B00000X | Case Management | OH | Agencies | |
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | OH | Agencies |
| Street Address |
11100 STATE ROUTE 550 |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-8839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073022752 | James Ira Kirk | Counselor | 11100 State Route 550, Athens, OH 45701-8839 | 2017-09-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| 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 |
|---|---|---|---|---|
| 1396391074 | Daniel Brandon Caneda | Community/Behavioral Health | 1905 S Milledge Ave Apt 2, Athens, GA 30605-1646 | 2019-08-17 |
| 1346704541 | Total Care Group Homes, LLC | Community/Behavioral Health | 15181 York Ln, Athens, AL 35611-7022 | 2019-01-22 |
| 1477093839 | Dm & Adr, Inc. | Community/Behavioral Health | 1710 Commerce Rd, Athens, GA 30607-1018 | 2017-03-06 |
| 1356738827 | Sydney Felker-ross, Ph.d. LLC | Community/Behavioral Health | 1150 S Milledge Ave Ste 4, Athens, GA 30605-6723 | 2015-04-22 |
| 1336546951 | Incrementum Family Development Centers of Tx LLC | Community/Behavioral Health | 215 Wood St Apt 113, Athens, TX 75751-2122 | 2014-11-25 |
| 1710381579 | Soar Counseling Services | Community/Behavioral Health | 117 S. Marion St. Suite E, Athens, AL 35611-2552 | 2014-10-22 |
| 1104193697 | Foundations Counseling Center, Inc. | Community/Behavioral Health | 22176 Saratoga Dr, Athens, AL 35613-2318 | 2011-11-28 |
| 1992096515 | Maine Behavioral Health Organization | Community/Behavioral Health | 203 North Rd, Athens, ME 04912-4004 | 2011-04-29 |
| 1811224256 | Enhancing Lives Face 2 Face Inc. | Community/Behavioral Health | 244 Eaglewood Ct, Athens, GA 30606-5047 | 2009-11-05 |
| 1336347533 | Resilia. LLC | Community/Behavioral Health | 1 Huntington Rd Ste 205, Athens, GA 30606-7206 | 2007-07-10 |
| Find all providers in ATHENS | ||||
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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.