DEREK LOUIS GRELLA (NPI# 1518565407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518565407 |
| Entity Type | Individual |
| Full Name | DEREK LOUIS GRELLA |
| Credential | CT |
| Practice Address |
1433 5th St Nw New Philadelphia OH 44663-1223 |
| Mailing Address |
434 Eastland Rd Berea OH 44017-1217 |
| Practice Telephone | 4402608300 |
| Mailing Telephone | 4402342006 |
| Enumeration Date | 2020-10-13 |
| Last Update Date | 2020-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | C.2002735-TRNE | OH | Behavioral Health & Social Service Providers |
| Street Address |
1433 5TH ST NW |
| City | NEW PHILADELPHIA |
| State | OH |
| Zip Code | 44663-1223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124102926 | Pamela R. Trimmer | Counselor | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2006-10-25 |
| 1720688278 | Kimberly Michelle Jacobs | Counselor | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2020-10-26 |
| 1003423476 | Matthew Campbell | Counselor | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2020-09-29 |
| 1508472853 | Abriel O Melchor | Peer Specialist | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2020-09-22 |
| 1902417892 | Amanda J Richmond | Peer Specialist | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2020-08-13 |
| 1649889445 | Christina A Lester | Community Health Worker | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2020-07-28 |
| 1457971798 | Katheryn M Maurer | Counselor | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2020-04-16 |
| 1174142806 | Miranda K Snow | Counselor | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2020-04-13 |
| 1710527536 | Brittney Jo Saunders | Registered Nurse | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2020-01-09 |
| 1043858020 | Ryan Patrick Robie | Case Management | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2019-12-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215538467 | Starlight Enterprises, Inc. | Day Training, Developmentally Disabled Services | 400 East High Ave, New Philadelphia, OH 44663 | 2020-11-04 |
| 1972103794 | Stephan Millik | Pharmacist | 231 Bluebell Dr N.w., New Philadelphia, OH 44663 | 2020-10-30 |
| 1487201273 | Pa-rtners In Primary Care, LLC | Clinic/Center | 436 Mistee Drive Sw, New Philadelphia, OH 44663 | 2019-08-26 |
| 1750860797 | Blythe Mccahan | Social Worker | 2419 East High Ave., New Philadelphia, OH 44663 | 2018-08-10 |
| 1093206781 | Always There Best Home Care LLC | Home Health | 1817 Reeds Run Rd Ne, New Philadelphia, OH 44663 | 2018-05-29 |
| 1528567591 | Celeste Renee Crissman | Behavior Technician | 567 Wabash Ave, New Philadelphia, OH 44663 | 2018-02-06 |
| 1154833655 | Next Level Sport and Spine LLC | Clinic/Center | 204 W. High Ave, New Philadelphia, OH 44663 | 2017-10-25 |
| 1063800910 | Lori Denise Williams | Occupational Therapy Assistant | 245 S. Broadway Street, New Philadelphia, OH 44663 | 2014-12-30 |
| 1619109428 | Choice Hearing Center, Inc. | Durable Medical Equipment & Medical Supplies | 1304 Fourth St. N.w., New Philadelphia, OH 44663 | 2009-08-12 |
| 1457505794 | Jo Ann Bartos | Massage Therapist | 1453 4th St Nw, New Philadelphia, OH 44663 | 2008-11-13 |
| Find all providers in zip 44663 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962991109 | Erin M Peltz | Counselor | 345 E High Ave, New Philadelphia, OH 44663-2535 | 2018-05-03 |
| 1720688278 | Kimberly Michelle Jacobs | Counselor | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2020-10-26 |
| 1003423476 | Matthew Campbell | Counselor | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2020-09-29 |
| 1942822150 | Joseph P Boyle | Counselor | 204 2nd St Ne, New Philadelphia, OH 44663-2808 | 2020-05-11 |
| 1467010983 | Tanya L Clift | Counselor | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2019-05-30 |
| 1477116804 | Alaina F Roush | Counselor | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2019-04-22 |
| 1144702440 | Tifanie Ann Kukwa | Counselor | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2018-09-04 |
| 1780177634 | Amanda N Bamberger | Counselor | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2018-06-14 |
| 1164915039 | Rebecca Chajkowski | Counselor | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2018-06-14 |
| 1255823324 | Jamie L Smith | Counselor | 1433 5th St Nw, New Philadelphia, OH 44663-1223 | 2018-06-04 |
| Find all providers in NEW PHILADELPHIA | ||||
| City | NEW PHILADELPHIA |
| Zip Code | 44663 |
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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.