MOUNDBUILDERS GUIDANCE CENTER, INC. (NPI# 1598723728) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598723728 |
| Entity Type | Organization |
| Organization Name | MOUNDBUILDERS GUIDANCE CENTER, INC. |
| Practice Address |
8402 Blackjack Road Ext Mount Vernon OH 43050-9193 |
| Practice Telephone | 7403970442 |
| Practice Fax Number | 7403921814 |
| Mailing Telephone | 7403970442 |
| Mailing Fax Number | 7403921814 |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2008-05-09 |
| Authorized Official Name | MR. PATRICK C EVANS (CEO) |
| Authorized Official Telephone | 7407883400 |
| 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) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MEDICARE CROSSOVER | 0200008 | 01 |
| OH | MC-26 | 05 | |
| OH | RISPERDAL | 2485734 | 01 |
| Street Address |
8402 BLACKJACK ROAD EXT |
| City | MOUNT VERNON |
| State | OH |
| Zip Code | 43050-9193 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508314626 | Hayla Clark | Social Worker | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2016-09-18 |
| 1730532516 | Laura L Statler | Counselor | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2016-07-18 |
| 1598124091 | Tami Mills | Social Worker | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2016-02-12 |
| 1851764575 | Jessica Lynn Pigg I | Social Worker | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2015-11-03 |
| 1538551486 | Tracie M Cordle | Social Worker | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2015-03-02 |
| 1679971923 | Jessica Massa | Social Worker | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2014-12-18 |
| 1730587692 | Leann Eshelman | Social Worker | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2014-12-09 |
| 1467858142 | Dustin Gregory | Counselor | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2014-11-07 |
| 1285044834 | Tammy M Walters | Social Worker | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2014-05-05 |
| 1598199309 | Julia R Dee | Counselor | 8402 Blackjack Road Ext, Mount Vernon, OH 43050-9193 | 2013-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043739972 | Roxanne Renee Berry | Case Manager/Care Coordinator | Bhp 8402 Blackjack Rd, Mt Vernon, OH 43050 | 2017-09-12 |
| 1477079309 | Blaine Elizabeth Barr | Case Manager/Care Coordinator | 510 Mitchell Avenue, Mount Vernon, OH 43050 | 2017-08-22 |
| 1205351004 | Knox Community Hospital | Durable Medical Equipment & Medical Supplies | 1330 Coshocton Ave., Mount Vernon, OH 43050 | 2017-08-14 |
| 1568998722 | Jami Passwaters | Case Manager/Care Coordinator | 8402 Blackjack Road, Mount Vernon, OH 43050 | 2017-05-10 |
| 1962892661 | Mount Vernon Nh LLC | Assisted Living Facility | 1135 East Gambier Street, Mount Vernon, OH 43050 | 2015-02-02 |
| 1881009017 | Pamela Robinson | Licensed Practical Nurse | 10263 Tucker Road, Mount Vernon, OH 43050 | 2014-06-26 |
| 1356756837 | Charla Sue Johnson | Licensed Practical Nurse | 228 Delano Street, Mt Vernon, OH 43050 | 2014-06-24 |
| 1588076236 | Erica Ferrell | Licensed Practical Nurse | 701 West Burgess Street, Mount Vernon, OH 43050 | 2014-05-29 |
| 1386085637 | Genesis Rehab Services | Assisted Living Facility | 6918 Wigton Road, Mount Vernon, OH 43050 | 2013-07-16 |
| 1427310473 | Jonathan Titus Hardin | Family Medicine | 1330 Coschocton Road, Mount Vernon, OH 43050 | 2012-06-14 |
| Find all providers in zip 43050 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720516362 | Tiffany Zarifkar, Lmhc, LLC | Clinic/Center | 204 Glenn St Se Ste 2, Mount Vernon, IA 52314-1501 | 2017-05-26 |
| 1154629673 | One Hope United | Clinic/Center | 2929 Broadway St, Suite 7a, Mount Vernon, IL 62864-2383 | 2011-03-08 |
| 1821630740 | Sea - Mar Community Health Center | Clinic/Center | 1010 E College Way, Mount Vernon, WA 98273-5624 | 2019-10-11 |
| 1487218418 | Arianna Martignetti | Clinic/Center | 256 Washington St Ste 2, Mount Vernon, NY 10553-1056 | 2019-04-25 |
| 1992368013 | Robert Cestone | Clinic/Center | 256 Washington St, Mount Vernon, NY 10553-1052 | 2019-04-15 |
| 1417410473 | The Guidance Center | Clinic/Center | 256 Washington St Ste 2, Mount Vernon, NY 10553-1056 | 2019-04-08 |
| 1922567759 | Otterson Counseling Ps | Clinic/Center | 720 Main St, Mount Vernon, WA 98273-3830 | 2019-03-19 |
| 1811451206 | Teresa Sclafani | Clinic/Center | 256 Washington St, Mount Vernon, NY 10553-1052 | 2019-01-30 |
| 1225530520 | Sea-mar Community Health Center | Clinic/Center | 2203 Old Hwy 99 S, Mount Vernon, WA 98273-9009 | 2018-03-02 |
| 1316130768 | Sea-mar Community Health Center | Clinic/Center | 1010 E College Way, Mount Vernon, WA 98273-5624 | 2007-08-20 |
| Find all providers in MOUNT VERNON | ||||
| City | MOUNT VERNON |
| Zip Code | 43050 |
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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.