TELLEA RENEE TINKHAM (NPI# 1417454539) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417454539 |
| Entity Type | Individual |
| Full Name | TELLEA RENEE TINKHAM |
| Credential | LPCC |
| Practice Address |
3095 Kettering Blvd Moraine OH 45439-1983 |
| Practice Telephone | 9372938300 |
| Mailing Telephone | 9372938300 |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2020-04-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
C1300416 | OH | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
E.1800929 | OH | Behavioral Health & Social Service Providers |
| Street Address |
3095 KETTERING BLVD |
| City | MORAINE |
| State | OH |
| Zip Code | 45439-1983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063490241 | Michelle L Schaffer | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2006-01-06 |
| 1235730839 | Ruby Deanna Fortson | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-11-02 |
| 1508466566 | Rebecca Khamis | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-29 |
| 1821698010 | Nikhaya Adams | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-28 |
| 1790385110 | Ashley Dawn Hyer | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-26 |
| 1275131187 | Steven Thompson | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-13 |
| 1205434230 | Kathleen E Robbins | Registered Nurse | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-12 |
| 1689271462 | Lindsey Marie Montano | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-05 |
| 1801493044 | Ashley Nicole Koverman | Case Manager/Care Coordinator | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-10-01 |
| 1598370009 | Yolanda Williams | Licensed Practical Nurse | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104455260 | Joseph Michael Meacham | Counselor | 3059 Kettering Blvd., Moraine, OH 45439 | 2020-04-02 |
| 1932673597 | Sabrina M Nichols | Behavior Technician | 5290 Cobblegate Drive, Moraine, OH 45439 | 2019-01-17 |
| 1013406040 | Chevelle Antionette Bennett | Licensed Practical Nurse | 4964 Springboco Pk, Mocaine, OH 45439 | 2018-05-04 |
| 1205332418 | Vincent A Mcbride | Case Manager/Care Coordinator | 3350 South Kettering Blvd, Moraine, OH 45439 | 2018-04-05 |
| 1124532635 | Rodescu Macklin | Counselor | 200 Daruma Parkway, Moraine, OH 45439 | 2017-11-20 |
| 1194248872 | Blu Diamond Home Care LLC | Home Health | 3481 Office Park Drive, Suite 12d, Dayton, OH 45439 | 2017-07-25 |
| 1003342692 | Chadonn Cummings | Social Worker | 3905 Kettering Blvd, Moriane, OH 45439 | 2017-05-03 |
| 1962959098 | Jessica Woody | Counselor | 3011kettering Blvd, Suite 311, Moraine, OH 45439 | 2016-09-07 |
| 1427409309 | Aida E Scanlon | Physician Assistant | 3445 S Dixie Dr, Moraine, OH 45439 | 2016-06-22 |
| 1881048908 | Judith Crum | Counselor | 4983 Joyce Dr., Dayton, OH 45439 | 2016-04-14 |
| Find all providers in zip 45439 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417314956 | Meaghan Iandolo | Counselor | 3500 Kettering Blvd, Moraine, OH 45439-2015 | 2016-01-27 |
| 1740622976 | Sara Ruth Blacklidge | Counselor | 3095 Kettering Blvd Ste 1, Moraine, OH 45439-1983 | 2013-07-30 |
| 1275979288 | Shannon Jean Calton | Counselor | 3055 Kettering Blvd Ste 111, Point West IIi, Moraine, OH 45439-1900 | 2013-05-16 |
| 1811235625 | Shantell Pitts | Counselor | 3095 Kettering Blvs, Moraine, OH 45439 | 2013-01-29 |
| 1710257654 | Brittany Elizabeth Corcoran | Counselor | 3490 S Dixie Dr, Suite 210, Moraine, OH 45439-2324 | 2012-01-10 |
| 1760008866 | Shelby Boyd | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-06-24 |
| 1962024141 | Edachau Ciearrah Lashaye Hobson | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2020-05-11 |
| 1013571181 | Kimberly Lockwood | Counselor | 2211 Arbor Blvd, Moraine, OH 45439-1521 | 2019-04-24 |
| 1396216917 | Paige Coy | Counselor | 3095 Kettering Blvd, Moraine, OH 45439-1983 | 2018-12-07 |
| 1184191215 | Gregory A Chapman | Counselor | 2211 Arbor Blvd, Moraine, OH 45439-1521 | 2018-10-26 |
| Find all providers in MORAINE | ||||
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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.