SARA RIDLEY COUNSELING PRACTICE, LLC (NPI# 1477082857) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477082857 |
| Entity Type | Organization |
| Organization Name | SARA RIDLEY COUNSELING PRACTICE, LLC |
| Practice Address |
15800 Detroit Ave Lakewood OH 44107-3748 |
| Practice Telephone | (440) 241-6054 |
| Mailing Telephone | 4402416054 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Authorized Official Name | SARA JOYCE RIDLEY (OWER/CLINICAL SOCIAL WORKER) |
| Authorized Official Telephone | 4402416054 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
I1000364 | OH | Ambulatory Health Care Facilities |
| Street Address |
15800 DETROIT AVE |
| City | LAKEWOOD |
| State | OH |
| Zip Code | 44107-3748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669465142 | Kristina Marie Kovach | Podiatrist | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2005-08-30 |
| 1417567405 | Molly Marina Mulcahy | Nurse Practitioner | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2020-08-04 |
| 1144881384 | Sherri Whitaker | Nurse Practitioner | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2019-06-27 |
| 1992286603 | Erika Nicole Young | Nurse Practitioner | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2018-08-22 |
| 1720530181 | Fast Response Nurse Practitioners, LLC | Nurse Practitioner | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2016-11-01 |
| 1669851812 | Michelle Hisako Haldeman | Podiatrist | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2015-05-20 |
| 1982008561 | Sarah Catherine Kusek | Nurse Practitioner | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2014-10-10 |
| 1184973521 | Roseann Marie Messina | Midwife, Lay | 15800 Detroit Ave, Suite D, Lakewood, OH 44107-3748 | 2012-08-30 |
| 1912287624 | Ko Nurse Practitioner, LLC | Physician Assistant | 15800 Detroit Ave, Lakewood, OH 44107-3748 | 2011-08-25 |
| 1760459978 | George M Khuri | Internal Medicine | 15800 Detroit Ave, Ste 400, Lakewood, OH 44107-3748 | 2006-03-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326522210 | Lawrence M Roth | Social Worker | 14701 Detroit Ave Ste 363, Lakewood, OH 44107 | 2018-09-18 |
| 1376065730 | Fareeha Khan | Internal Medicine | 12540 Edgewater Drive, Apt 411, Lakewood, OH 44107 | 2017-07-07 |
| 1912433756 | Julie Ann Foucher-urcuyo | Family Medicine | 14601 Detroit Ave, Fl 2, Lakewood, OH 44107 | 2017-05-11 |
| 1225563661 | Elizabeth Ann Rainbolt | Family Medicine | 14601 Detroit Ave Fl 2, Lakewood, OH 44107 | 2017-04-24 |
| 1255882551 | Kristen Murray | Dietitian, Registered | 14900 Detroit Ave Ste 207, Lakewood, OH 44107 | 2016-10-21 |
| 1265828131 | David Thomas Jonke | Dentist | 15640 Madison Ave., Lakewood, OH 44107 | 2015-04-08 |
| 1760885941 | Debra Watkins | Home Health Aide | 1510 Newman Ave Apt 406, Lakewood, OH 44107 | 2014-10-02 |
| 1396155198 | Monica M Owen | Occupational Therapist | 9200 Biddulph Rd., Brooklyn, OH 44107 | 2014-05-01 |
| 1730512229 | Marsha Elaine Favors | Licensed Practical Nurse | 1448 Lakeland Ave, Lakewood, OH 44107 | 2013-08-20 |
| 1508130006 | Ruth Rachel Raciniewski | Counselor | 15200 Madison Avenue, Lakewood, OH 44107 | 2012-03-01 |
| Find all providers in zip 44107 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| 1073170510 | Preferred Behavioral Health of Nj | Clinic/Center | 725 Airport Rd Ste 2b, Lakewood, NJ 08701-5968 | 2019-05-21 |
| 1073076501 | Jade Recovery Inc | Clinic/Center | 255 S Routt St Ste 265, Lakewood, CO 80228-2271 | 2019-04-11 |
| 1073004131 | Lakewest Dbt Center LLC | Clinic/Center | 15711 Madison Ave Ste 102, Lakewood, OH 44107-5655 | 2018-05-24 |
| 1295237212 | Preferred Behavioral Health of New Jersey, Inc | Clinic/Center | 1200 River Ave Ste 9d, Lakewood, NJ 08701-5657 | 2018-03-06 |
| Find all providers in LAKEWOOD | ||||
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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.