GERALDINE M HUMPHREY (NPI# 1578530028) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1578530028 |
Entity Type | Individual |
Full Name | GERALDINE M HUMPHREY |
Credential | PHD LPC |
Practice Address |
6046 Whipple Ave Nw North Canton OH 44720 |
Mailing Address |
6046 Whipple Avenue Nw North Canton OH 44720 |
Practice Telephone | 3304331200 |
Practice Fax Number | 3303055047 |
Mailing Telephone | 3304331400 |
Mailing Fax Number | 3303055047 |
Enumeration Date | 2006-03-03 |
Last Update Date | 2008-09-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | E0001783 | OH | Behavioral Health & Social Service Providers |
Street Address |
6046 WHIPPLE AVE NW |
City | NORTH CANTON |
State | OH |
Zip Code | 44720 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194719278 | Julie A Joyce | Pediatrics | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2005-09-06 |
1740835115 | Shannon Urena | Physician Assistant | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2019-08-02 |
1720502503 | Mitchell Scott Polen | Audiologist | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2017-08-02 |
1780128157 | Ashley Elizabeth Kandis | Nurse Practitioner | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2016-12-05 |
1649626201 | Daniel Butts | Family Medicine | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2016-05-12 |
1437539525 | Yolanda Moore-forbes | Pediatrics | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2015-06-03 |
1518394311 | North Central Medical Resources, Inc. | Durable Medical Equipment & Medical Supplies | 6046 Whipple Ave Nw, Suite #210, North Canton, OH 44720-7616 | 2013-10-11 |
1265866651 | Sarah Anne Booth | Nurse Practitioner | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2013-08-21 |
1073952511 | Amy Rachelle Yoder | Audiologist | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2013-06-18 |
1073952685 | Gina Marie Kicos | Nurse Practitioner | 6046 Whipple Ave Nw, North Canton, OH 44720-7616 | 2013-06-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700351251 | Mark Allan Joki | Counselor | 1303 W. Maple St., Suite 103, North Canton, OH 44720 | 2018-10-11 |
1700305794 | Alexis Katherine Hundley | Specialist/Technologist | 1378 Devon Drive, North Canton, OH 44720 | 2017-09-12 |
1376060780 | Universal Impex Inc. | Day Training, Developmentally Disabled Services | 6868 Farmcrest Cir Nw., North Canton, OH 44720 | 2017-08-25 |
1083066203 | Wendy Barnett | Registered Nurse | 8722 Grimes Ave Nw, North Canton, OH 44720 | 2016-07-12 |
1336590389 | Amanda L Cockerell | Occupational Therapy Assistant | 330 E Maple St, North Canton, OH 44720 | 2016-06-30 |
1467808063 | Ryan Monti | Physical Therapist | 6285 Promler St Nw, North Canton, OH 44720 | 2016-05-12 |
1467816124 | Jami Lynn Fisher | Occupational Therapist | 6057 Strip Avenue Nw, North Canton, OH 44720 | 2016-04-08 |
1801255427 | Steven R Fricke | Psychologist | 239 Portage St. Ne, North Canton, OH 44720 | 2016-02-11 |
1396124814 | Burkins Ritchie & Assco LLC | Counselor | 1206 N. Main St, North Canton, OH 44720 | 2015-05-29 |
1073992590 | Max Dean Burkins | Counselor | 1206 N. Main St., North Canton, OH 44720 | 2015-05-29 |
Find all providers in zip 44720 |
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 |
---|---|---|---|---|
1861963753 | Janelle Fye | Counselor | 7023 Mears Gate Dr Nw Ste A, North Canton, OH 44720-8849 | 2018-12-17 |
1528503067 | Jason Mogus | Counselor | 5080 Aultman Avenue Nw, North Canton, OH 44720-1528 | 2016-12-19 |
1649416249 | Janet Karen Richards | Counselor | 2392 Hume St Nw, North Canton, OH 44720-6230 | 2009-01-02 |
1780847608 | Timothy Ray King | Counselor | 1303 W Maple St Ste 103, North Canton, OH 44720-2858 | 2008-07-10 |
1639383276 | Eugene Bauer | Counselor | 1680 Chatham Ave Ne, North Canton, OH 44720-1714 | 2007-05-10 |
1013075571 | Mary Cathleen Barrrett | Counselor | 1303 W Maple St Ste 102, North Canton, OH 44720-2858 | 2006-12-05 |
1639258874 | Michelle Renee Foraker | Counselor | 1201 S Main St Ste 100, North Canton, OH 44720-4283 | 2006-11-06 |
1295149193 | Christina Schnyders | Counselor | 7300 Whipple Ave Nw, Suite 2, North Canton, OH 44720-7159 | 2014-06-18 |
1477794006 | Terri Simmons-bentzel | Counselor | 1177 S Main St, North Canton, OH 44720-4200 | 2009-03-11 |
1457511461 | Michael Tornow | Counselor | 1303 W Maple St, Ste. 103, North Canton, OH 44720-2858 | 2008-06-12 |
Find all providers in NORTH CANTON |
City | NORTH CANTON |
Zip Code | 44720 |
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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.