JACYLN LEE ALEXANDER (NPI# 1366948630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366948630 |
| Entity Type | Individual |
| Full Name | JACYLN LEE ALEXANDER |
| Credential | CDCA |
| Practice Address |
6570 Sosna Dr Fairfield OH 45014-2222 |
| Practice Telephone | 5139424673 |
| Mailing Telephone | 5139424673 |
| Enumeration Date | 2018-04-04 |
| Last Update Date | 2018-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.165318 | OH | Behavioral Health & Social Service Providers |
| N | 171M00000X | Case Manager/Care Coordinator | 165318 | OH | Other Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 621 S Erie Hwy, Hamilton, OH 450114315 | 5137957557 |
| Street Address |
6570 SOSNA DR |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215001128 | Michael Thomas Ramos | Social Worker | 6570 Sosna Dr, Fairfield, OH 45014-2279 | 2006-11-20 |
| 1891396420 | Jamie Stafford | Behavior Technician | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-11-02 |
| 1336751064 | Holly Pelphrey | Counselor | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-08-24 |
| 1801406939 | Jennifer Hopkins | Counselor | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-08-04 |
| 1952925810 | Sharon Dodds | Counselor | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-06-05 |
| 1215550470 | Jasmina Joan Nystrom | Behavior Technician | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-05-22 |
| 1295357333 | Donald Compton Iv | Behavior Technician | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-05-12 |
| 1730700857 | James Henson | Behavior Technician | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-04-29 |
| 1174159610 | Ricky Dale Wilson | Counselor | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-03-17 |
| 1497380232 | Chasity Mason | Licensed Practical Nurse | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700411386 | Darren Hailey | Counselor | 72 Villa Cir, Fairfield, CA 94533-2523 | 2020-03-04 |
| 1013567270 | Asia Robinson | Counselor | 1165 Dove Way, Fairfield, CA 94533-2542 | 2019-09-18 |
| 1689220477 | Carl Leonard Fessenden | Counselor | 1974 Winchester Pl, Fairfield, CA 94533-3618 | 2019-08-16 |
| 1598262677 | Jason Michael Levline | Counselor | 5266 Charlene Ave, Fairfield, OH 45014-1535 | 2018-04-06 |
| 1497285084 | Beth A. Bronfman | Counselor | 87 Fairfield Rd, Fairfield, NJ 07004-2546 | 2017-06-15 |
| 1588191290 | Kirk D. Condon | Counselor | 201 South 23rd, Fairfield, IA 52556 | 2017-05-12 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1730639329 | Jonathon Grogan | Counselor | 2480 Hilborn Rd, Fairfield, CA 94534-1856 | 2016-10-07 |
| 1295119196 | Sara Faye Jones | Counselor | 745 Ohio St Apt 2, Fairfield, CA 94533-6222 | 2015-07-10 |
| 1205242583 | Amy Lynn Davis | Counselor | 620 Julmar Cir, Fairfield, CA 94534-4214 | 2014-07-07 |
| Find all providers in FAIRFIELD | ||||
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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.