MR. JOHN M BLUNK (NPI# 1336653229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336653229 |
| Entity Type | Individual |
| Full Name | MR. JOHN M BLUNK |
| Credential | LPC |
| Practice Address |
8411 Broadway Ave Cleveland OH 44105-3932 |
| Practice Telephone | 2164410200 |
| Mailing Telephone | 2164410200 |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
8411 BROADWAY AVE |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44105-3932 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497871719 | Community Assessment and Treatment Services, Inc | Substance Abuse Rehabilitation Facility | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2007-03-21 |
| 1134720055 | Kelitha Laverne Bivens | Counselor | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2020-11-06 |
| 1659972651 | Nakita Eathridge | Behavioral Analyst | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2020-11-05 |
| 1386245736 | Mary Margaret Mathis | Counselor | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2020-11-03 |
| 1851907893 | Kathryn Rebecca Sass | Counselor | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2020-09-16 |
| 1376156505 | Randra Simkins | Counselor | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2020-08-27 |
| 1316550924 | Matthew K Stewart | Counselor | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2020-08-25 |
| 1265045702 | Robert Williams | Counselor | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2020-08-25 |
| 1023620937 | Kent Obrian Strain | Behavior Technician | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2020-08-21 |
| 1659981900 | Darryl Childress | Counselor | 8411 Broadway Ave, Cleveland, OH 44105-3932 | 2020-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710525340 | Horitta R Yelder | Nurse's Aide | 11305 Olney Ct., Cleveland, OH 44105 | 2019-12-13 |
| 1063982643 | Jasmine Harris | Case Manager/Care Coordinator | 6410 S Broadway, Lorain, OH 44105 | 2018-11-27 |
| 1629596556 | Amber M Stinnett | Licensed Practical Nurse | 11322 Matilda Ave., Cleveland, OH 44105 | 2017-08-30 |
| 1154848752 | Latisha A Coleman | Homemaker | 4151 East 106st, Cleveland, OH 44105 | 2017-08-24 |
| 1235651605 | Christina Roberson | Nurse's Aide | 3525 E.106 St, Cleveland, OH 44105 | 2017-07-07 |
| 1982139457 | Robert Lucas | Homemaker | 9122 Miles, Cleveland, OH 44105 | 2017-04-21 |
| 1154719243 | Sabrina L Kirksey | Driver | 7414 Park Avenue, Cleveland, OH 44105 | 2014-12-26 |
| 1518379643 | Hope Academy Northcoast Campus | Local Education Agency (LEA) | 4310 E. 71st Street, Cleveland, OH 44105 | 2014-05-23 |
| 1366853301 | Gabrielle Baker | Contractor | 4071 E. 59th St., Cleveland, OH 44105 | 2014-05-13 |
| 1407266174 | Hermine Christine Terry | Nurse's Aide | 4096 E. 81 Street, Cleveland, OH 44105 | 2014-05-05 |
| Find all providers in zip 44105 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1417514654 | Green Acres Counseling and Group Services LLC | Counselor | 17325 Euclid Ave Ste 4031, Cleveland, OH 44112-1270 | 2019-05-23 |
| 1215592373 | Sherree Owens | Counselor | 391 Broad St Nw # 201, Cleveland, TN 37311-5039 | 2019-05-04 |
| 1255995080 | Carl Kappenhagen | Counselor | 4350 W 28th St, Cleveland, OH 44109-4167 | 2019-04-26 |
| 1962066050 | Ayona Kemp | Counselor | 17105 Holly Hill Dr, Cleveland, OH 44128-2523 | 2019-04-24 |
| 1609345479 | Fm Speech Therapy LLC | Counselor | 2529 Detroit Ave Ste 136, Cleveland, OH 44113-2701 | 2018-11-21 |
| 1043705155 | Lizzette M. Jordan | Counselor | 12104 Oakfield Ave, Cleveland, OH 44105-1929 | 2018-06-30 |
| 1841656394 | William Clarence Washington | Counselor | 17618 Brazil Rd, Cleveland, OH 44119-1903 | 2016-01-13 |
| 1447629126 | Optimal Behavioral, LLC | Counselor | 1311 Catherine Dr, Cleveland, TN 37312 | 2015-09-23 |
| 1609243591 | Refuge Ministries Development | Counselor | 13924 Bartlett Ave, Cleveland, OH 44120-4718 | 2015-08-26 |
| Find all providers in CLEVELAND | ||||
Please comment or provide details below to improve the information on MR. JOHN M BLUNK.
| 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.