JODI MCGOUGH (NPI# 1447661921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447661921 |
| Entity Type | Individual |
| Full Name | JODI MCGOUGH |
| Practice Address |
15 S 9th St Lebanon PA 17042-5104 |
| Mailing Address |
121 E Oak St Palmyra PA 17078-2440 |
| Practice Telephone | 7172735992 |
| Enumeration Date | 2014-05-19 |
| Last Update Date | 2014-05-19 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | BH00099 | PA | Agencies |
| Street Address |
15 S 9TH ST |
| City | LEBANON |
| State | PA |
| Zip Code | 17042-5104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396808531 | Dale K Horst | Psychologist | 15 S 9th St, Lebanon, PA 17042-5104 | 2006-12-19 |
| 1780218008 | Dana Gil | Behavioral Analyst | 15 S 9th St, Lebanon, PA 17042-5104 | 2020-02-25 |
| 1063045185 | Catharine Morales | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2020-02-17 |
| 1114563848 | Ruth A Snyder | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2019-11-18 |
| 1376003319 | Mitzie Jazmin Baez | Marriage & Family Therapist | 15 S 9th St, Lebanon, PA 17042-5104 | 2019-03-25 |
| 1730647561 | Jacqueline Anne Hornickell | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2019-03-11 |
| 1912489550 | Qiana Devani Hill | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2018-08-30 |
| 1336657592 | Kyra Roof | Licensed Practical Nurse | 15 S 9th St, Lebanon, PA 17042-5104 | 2018-01-22 |
| 1073041521 | Erin Callihan | Social Worker | 15 S 9th St, Lebanon, PA 17042-5104 | 2017-05-29 |
| 1336699503 | Kim Elaine Miller | Counselor | 15 S 9th St, Lebanon, PA 17042-5104 | 2016-10-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023676384 | Sandra L Pistone | Registered Nurse | 905 S. 2nd Ave, Lebanon, PA 17042 | 2019-06-03 |
| 1154848414 | Kihc, LLC | Home Health | 900-c Centerville Road, Suite C, Lancaster, PA 17042 | 2017-08-28 |
| 1316301724 | Good Samaritan Physician Services | Radiology | 844 Tuck Street, Lebanon, PA 17042 | 2016-04-12 |
| 1609265883 | Ashley Hess | Behavioral Analyst | 15th South 9th Street, Lebanon, PA 17042 | 2015-01-12 |
| 1932504727 | Anthony Salvadore Petrole | Physician Assistant | 252 4th Street, Lebanon, PA 17042 | 2014-10-23 |
| 1801209713 | Matthew Johnson | Family Medicine | 920 Church Street, Lebanon, PA 17042 | 2014-06-09 |
| 1437414505 | Odalys Gonzalez-rodriguez | Physical Therapist | 1700 S Lincoln Ave., Lebanon Vmac Bldg 102 Room 120, Lebanon, PA 17042 | 2012-07-05 |
| 1750677175 | Anita Lyn Stokes | Speech-Language Pathologist | 1126 Walnut Street, Lebanon, PA 17042 | 2011-06-23 |
| 1205126497 | Karey Lynn Foote | Pharmacist | 415 S. 9th St, Lebanon, PA 17042 | 2011-04-09 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| Find all providers in zip 17042 | ||||
| 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 |
|---|---|---|---|---|
| 1154895712 | Lanham Counseling | Community/Behavioral Health | 27 Court Sq, Lebanon, KY 40033-1233 | 2019-01-17 |
| 1780119305 | Recovery Defined, LLC | Community/Behavioral Health | 777 Columbus Ave Ste 7d, Lebanon, OH 45036-1684 | 2017-04-21 |
| 1952712663 | Family Preservation Services, Inc. | Community/Behavioral Health | 53 Pruner St, Lebanon, VA 24266-4235 | 2014-05-15 |
| 1568772135 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 400 Narrows Drive, Lebanon, PA 17046 | 2010-10-18 |
| 1013227685 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 101 E. Evergreen Road, Lebanon, PA 17042 | 2010-10-18 |
| 1982854238 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 1825 S 5th Ave, Lebanon, PA 17042-7910 | 2008-09-23 |
| 1871743120 | T. W. Ponessa and Associates Counseling Services, Inc. | Community/Behavioral Health | 1600 Colonial Cir, Lebanon, PA 17046-1964 | 2008-09-23 |
| 1568619922 | James Dale Streiff | Community/Behavioral Health | 756 Cumberland St, Suite 3, Lebanon, PA 17042-5268 | 2008-08-27 |
| 1659528230 | Family Preservation Services, Inc | Community/Behavioral Health | George Ben Whited Drive, Lebanon, VA 24266 | 2008-08-26 |
| 1821263716 | O.c.c.s., Inc. | Community/Behavioral Health | 687 W Elm St, Lebanon, MO 65536-3568 | 2008-04-23 |
| Find all providers in LEBANON | ||||
Please comment or provide details below to improve the information on JODI MCGOUGH.
| 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.