LORRIE L. HEDRICK (NPI# 1528687589) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528687589 |
| Entity Type | Individual |
| Full Name | LORRIE L. HEDRICK |
| Credential | CDCAII |
| Practice Address |
475 Lexington Ave Mansfield OH 44907-1501 |
| Practice Telephone | 4194195705 |
| Practice Fax Number | 4197751254 |
| Mailing Telephone | 4194195705 |
| Mailing Fax Number | 4197751254 |
| Enumeration Date | 2020-04-10 |
| Last Update Date | 2020-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
173227 | OH | Behavioral Health & Social Service Providers |
| Street Address |
475 LEXINGTON AVE |
| City | MANSFIELD |
| State | OH |
| Zip Code | 44907-1501 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205832375 | Robert Edwin Exten Jr. | Internal Medicine | 475 Lexington Ave, Mansfield, OH 44907-1501 | 2005-06-23 |
| 1164041125 | Alissa R Keysor | Licensed Practical Nurse | 475 Lexington Ave, Mansfield, OH 44907-1501 | 2020-04-10 |
| 1013579234 | Shaunqua S Crawford | Licensed Practical Nurse | 475 Lexington Ave, Mansfield, OH 44907-1501 | 2019-07-09 |
| 1184053100 | Tammy Canfield | Nurse Practitioner | 475 Lexington Ave, Mansfield, OH 44907-1501 | 2013-11-12 |
| 1821148404 | Woodside Medical Group, Inc. | Clinic/Center | 475 Lexington Ave, Mansfield, OH 44907-1501 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
| 1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
| 1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
| 1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
| 1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
| 1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
| 1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
| 1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
| 1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
| 1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
| Find all providers in zip 44907 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548891989 | Soulace Group LLC | Counselor | 91 Park Ave W Ste A, Mansfield, OH 44902-1630 | 2020-02-03 |
| 1639652423 | Richard Johnson | Counselor | 3203 Star Hill Rd, Mansfield, TX 76063-2375 | 2018-09-08 |
| 1720564768 | Kurt Billups | Counselor | 6970 Dick Price Rd, Mansfield, TX 76063-5288 | 2018-07-12 |
| 1487144952 | Kenneth Cornell Johnson Jr. | Counselor | 91 Park Ave W, Mansfield, OH 44902-1630 | 2018-05-10 |
| 1104323898 | Kristin Jones | Counselor | 680 Park Ave. West, Mansfield, OH 44906-4490 | 2018-04-09 |
| 1912403130 | Scott Haverd Hudnall | Counselor | 608 Park Ave W, Mansfield, OH 44906-3769 | 2018-04-05 |
| 1609387786 | Thomas W Schluter Jr. | Counselor | 780 Park Ave W Ste D, Mansfield, OH 44906-3009 | 2017-10-17 |
| 1720518319 | Stephen Anderson | Counselor | 680 Park Ave W., Mansfield, OH 44906 | 2017-06-15 |
| 1235680075 | Sarah Hurst-pelfrey | Counselor | 680 Park Avenue West, Mansfield, OH 44906-2641 | 2016-10-17 |
| 1013397595 | Wesley Kyser | Counselor | 2 Smith Ave, Mansfield, OH 44905-2855 | 2015-06-01 |
| Find all providers in MANSFIELD | ||||
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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.