SHAWNEE MENTAL HEALTH INC (NPI# 1346412061) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346412061 |
| Entity Type | Organization |
| Organization Name | SHAWNEE MENTAL HEALTH INC |
| Other Organization Name | SHAWNEE MENTAL HEALTH INC |
| Practice Address |
901 Washington St Portsmouth OH 45662-3944 |
| Practice Telephone | 7403547702 |
| Practice Fax Number | 7403531662 |
| Mailing Telephone | 7403547702 |
| Mailing Fax Number | 7403531662 |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |
| Authorized Official Name | MR. FRANK DONALD THACKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7403547702 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2475629 | 05 |
| Other Name | Type Code |
|---|---|
| SHAWNEE MENTAL HEALTH INC | Former Legal Business Name - Organization |
| Street Address |
901 WASHINGTON ST |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-3944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114526985 | Jessica Collier | Case Manager/Care Coordinator | 901 Washington St, Portsmouth, OH 45662-3944 | 2020-10-22 |
| 1487253258 | Holly Hamilton | Case Manager/Care Coordinator | 901 Washington St, Portsmouth, OH 45662-3944 | 2020-10-22 |
| 1265055867 | Erica C Pauley | Case Manager/Care Coordinator | 901 Washington St, Portsmouth, OH 45662-3944 | 2020-05-19 |
| 1821625807 | Tiffany Jo Crabtree | Case Manager/Care Coordinator | 901 Washington St, Portsmouth, OH 45662-3944 | 2020-03-27 |
| 1407493380 | Jaclyn Syroney | Case Manager/Care Coordinator | 901 Washington St, Portsmouth, OH 45662-3944 | 2019-12-10 |
| 1770125338 | Erica Blake | Licensed Practical Nurse | 901 Washington St, Portsmouth, OH 45662-3944 | 2019-10-15 |
| 1356991319 | Bethany Payne | Licensed Practical Nurse | 901 Washington St, Portsmouth, OH 45662-3944 | 2019-09-12 |
| 1124677240 | Gina Book | Counselor | 901 Washington St, Portsmouth, OH 45662-3944 | 2019-09-11 |
| 1790338390 | Destiny Arthurs | Licensed Practical Nurse | 901 Washington St, Portsmouth, OH 45662-3944 | 2019-07-23 |
| 1487215091 | Stacey Williams | Licensed Practical Nurse | 901 Washington St, Portsmouth, OH 45662-3944 | 2019-06-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
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|---|---|---|---|---|
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| 1114416187 | Rise Behavioral Health, LLC | Clinic/Center | 355 Crawford St, Portsmouth, VA 23704-2816 | 2018-05-06 |
| 1679073563 | Colleen M. Cook, Ph.d., Pllc | Clinic/Center | 1 Greenleaf Woods Dr Unit 302, Portsmouth, NH 03801-5437 | 2018-02-16 |
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|---|---|---|---|---|
| 1679188536 | Sea Glass Counseling and Consultation, LLC | Clinic/Center | 7757 Amberfalls Ct, Dublin, OH 43016-9041 | 2020-09-08 |
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| 1598380453 | Courage To Heal Counseling LLC | Clinic/Center | 304 S Court St Ste A, Circleville, OH 43113-1604 | 2020-06-16 |
| 1477178846 | Small Behavioral Health Counseling | Clinic/Center | 1213 Coventry St, Akron, OH 44306-2229 | 2020-06-11 |
| 1265055693 | Sola Caritas | Clinic/Center | 2967 W 38th St, Cleveland, OH 44113-4803 | 2020-05-20 |
| 1417570946 | Flourish Counseling, LLC | Clinic/Center | 24757 Hawthorne Dr, Beachwood, OH 44122-2317 | 2020-05-19 |
| 1346869682 | 2020 Life Counseling LLC | Clinic/Center | 21724 Lorain Rd Ste 8, Fairview Park, OH 44126-3334 | 2020-04-15 |
| 1306407887 | Freedom Counseling, Coaching, and Consulting, LLC | Clinic/Center | 2174 Kelley Ln, Newark, OH 43055-8057 | 2019-06-25 |
| 1255997599 | Jana Bergfeld Lisw LLC | Clinic/Center | 1071 Fishinger Rd Ste 211, Columbus, OH 43221-2301 | 2019-05-13 |
| 1861056921 | Mobile Physician Services Inc. | Clinic/Center | 4031 Colonel Glenn Hwy Ste 133, Beavercreek Township, OH 45431-2774 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
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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.