OPEN WATER COUNSELING AND RECOVERY, LLC (NPI# 1447877147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447877147 |
| Entity Type | Organization |
| Organization Name | OPEN WATER COUNSELING AND RECOVERY, LLC |
| Practice Address |
1725 Drexel Ave Nw Warren OH 44485-2121 |
| Mailing Address |
5547 Mahoning Ave # 143 Austintown OH 44515-2316 |
| Practice Telephone | 3305393200 |
| Mailing Telephone | 3305393299 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-30 |
| Authorized Official Name | THOMAS R DEWEY (DIRECTOR/PRESIDENT) |
| Authorized Official Telephone | 3305393200 |
| Authorized Official Credential | LPCC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747888 | Open Water Counseling and Recovery, LLC | Counselor | 1725 Drexel Ave Nw, Warren, OH 44485-2121 | 2019-12-11 |
| Street Address |
1725 DREXEL AVE NW |
| City | WARREN |
| State | OH |
| Zip Code | 44485-2121 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932747888 | Open Water Counseling and Recovery, LLC | Counselor | 1725 Drexel Ave Nw, Warren, OH 44485-2121 | 2019-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780284752 | Heather Lynn Ayres | Technician | 4046 North Leavitt Rd Nw, Warren, OH 44485 | 2020-10-29 |
| 1730576315 | Jeanetta Chatmon | Community Health Worker | 1447 Kensington St. Nw, Warren, OH 44485 | 2015-04-21 |
| 1003201351 | Laneka Oliver | Home Health | 1655 Denison Ave, Warren, OH 44485 | 2015-04-03 |
| 1437401155 | Rhoda Darlene Killingworth | Nurse's Aide | 1510 Arthur Dr Nw, Warren, OH 44485 | 2012-10-04 |
| 1477844033 | Lakshmi Padmanabhan | Pharmacist | 1560 Parkman Road, Rite Aid Pharmacy, Warren, OH 44485 | 2011-04-29 |
| 1225332422 | Dashah Brendae Adams | Licensed Practical Nurse | 3270 Dunstan Dr. Nw, Warren, OH 44485 | 2011-01-03 |
| 1982854188 | Deanna Lynne Nussle | Registered Nurse | 1480 Tod Ave, Warren, OH 44485 | 2008-09-24 |
| 1003093170 | Kila E Mcghee | Home Health | 1108 Tod Ave Nw, Warren, OH 44485 | 2008-01-30 |
| 1639372816 | Stella L Reese | Home Health Aide | 1890 Northfield Nw, Attn Karen Morgan, Warren, OH 44485 | 2007-06-06 |
| 1417016239 | Laura Marie Buck | Counselor | Louis Stokes Cleveland Medical Center, 1406 Tod Ave Nw Warren Va Cboc, Warren, OH 44485 | 2006-12-07 |
| Find all providers in zip 44485 | ||||
| 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 |
|---|---|---|---|---|
| 1093331092 | Kaitlyn Lee Goodhart | Community/Behavioral Health | 2160 Howland Wilson Rd Ne, Warren, OH 44484-3921 | 2020-06-25 |
| 1588299283 | Walter Davis | Community/Behavioral Health | 1380 Arbor Ave Se Apt 508, Warren, OH 44484-4448 | 2020-03-03 |
| 1891331930 | Michael Jacob Limbeck | Community/Behavioral Health | 2088 Saratoga Ave Sw, Warren, OH 44485-3960 | 2019-11-25 |
| 1497317424 | Susan Elizabeth Kilpatrick | Community/Behavioral Health | 1901 Southwest Blvd Sw, Warren, OH 44485-3973 | 2019-06-29 |
| 1972090967 | Riverside Counseling, LLC | Community/Behavioral Health | 436 Pennsylvania Ave W, Warren, PA 16365-2238 | 2018-04-16 |
| 1871005306 | Crn Healthcare Inc | Community/Behavioral Health | 4087 Youngstown Rd Se, Warren, OH 44484-3368 | 2017-10-24 |
| 1568998425 | The Salvation Army Habor Light Onward | Community/Behavioral Health | 24140 Mound Rd, Warren, MI 48091-5322 | 2017-05-11 |
| 1689002719 | Macomb-oakland Home Care, Inc. | Community/Behavioral Health | 1999 Common Rd, Warren, MI 48092-2164 | 2013-10-29 |
| 1932391042 | Childrens Home of Detroit | Community/Behavioral Health | 6902 Chicago Rd, Warren, MI 48092-1686 | 2007-08-13 |
| 1043331994 | Children's Center for Treatment and Education | Community/Behavioral Health | 1885 Market St, Warren, PA 16365-1277 | 2007-04-02 |
| Find all providers in WARREN | ||||
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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.