SECOND CHANCE COUNSELING CENTER, INC. (NPI# 1609046572) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609046572 |
| Entity Type | Organization |
| Organization Name | SECOND CHANCE COUNSELING CENTER, INC. |
| Practice Address |
6011 Columbus Pike Lewis Center OH 43035-8494 |
| Practice Telephone | 6146359011 |
| Practice Fax Number | 6146359014 |
| Mailing Telephone | 6146359011 |
| Mailing Fax Number | 6146359014 |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | BERNARD C O'REILLY (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 6146359011 |
| Authorized Official Credential | MSW, LSW. LICDC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| Street Address |
6011 COLUMBUS PIKE |
| City | LEWIS CENTER |
| State | OH |
| Zip Code | 43035-8494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356949358 | Lester Chinjelu Zitto | Homemaker | 910 Apt C Polaris Grand Drive, Lewis Center, OH 43035 | 2020-10-12 |
| 1053959072 | Fixari Dental of Lewis Center LLC | Dentist | 8300 Orange Centre Dr, Lewis Center, OH 43035 | 2019-12-20 |
| 1932752037 | Dianna Lynn Hartley | Registered Nurse | 630 East River Road, Elyria, OH 43035 | 2019-07-18 |
| 1972164713 | Cardinal Delaware, Inc. | Skilled Nursing Facility | 6975 Graphics Way, Lewis Center, OH 43035 | 2019-06-24 |
| 1770142168 | Huong V. Trinh, Dds, LLC | Dentist | 599 Carle Ave, Lewis Center, OH 43035 | 2019-06-10 |
| 1245691476 | Isatou Aisha Saidy | Registered Nurse | 8014 Strawberry Hill Rd, Lewis Center, OH 43035 | 2016-03-16 |
| 1467875864 | Karen Leigh Richeson | Physical Therapist | 814 Lewis Center Rd, Lewis Center, OH 43035 | 2014-01-22 |
| 1750609970 | Roopan Elizabeth Farris | Internal Medicine | 6515 Pullman Drive, Lewis Center, OH 43035 | 2010-05-12 |
| 1164655429 | Pagie Kondoh Yokie | Registered Nurse | 812 Mystic Pointe Drive, Lewis Center, OH 43035 | 2009-09-02 |
| 1215193644 | Amanda Rose Daugherty | Nurse Practitioner | 6417 Columbus Pike, Lewis Center, OH 43035 | 2008-08-05 |
| Find all providers in zip 43035 | ||||
| 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 |
|---|---|---|---|---|
| 1497237234 | North Brook LLC | Counselor | 620 Bear Run Ln Ste D, Lewis Center, OH 43035-8299 | 2018-08-29 |
| 1700051620 | Teresa Jacott | Counselor | 737 Enterprise Dr, Suite 100, Lewis Center, OH 43035-9436 | 2008-04-23 |
| 1700417847 | Josee Jenkins | Counselor | 7100 Graphics Way Ste 3100, Lewis Center, OH 43035-1123 | 2020-01-28 |
| 1407176373 | Katherine Anne Jurey | Counselor | 7100 Graphics Way, Lewis Center, OH 43035-1122 | 2010-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548868698 | Jana Elaine Kizito | Counselor | 202 Gladys Ave, Mingo Jct, OH 43938-1028 | 2020-10-12 |
| 1669079596 | Jonathan David Kopech | Counselor | 2635 Jessup Rd, Cincinnati, OH 45239-6276 | 2020-10-05 |
| 1427665900 | Center for Emotional Health, LLC. | Counselor | 330 Portland St, Celina, OH 45822-2038 | 2020-09-28 |
| 1932715471 | Raquel Powell-lewis | Counselor | 1435 Vine St Apt 2, Cincinnati, OH 45202-7094 | 2020-09-21 |
| 1043826027 | Center of Healing, LLC | Counselor | 292 Greensfield Ln, Copley, OH 44321-3098 | 2020-09-16 |
| 1043825573 | David Fluellen | Counselor | 1743 E Main St, Columbus, OH 43205-2265 | 2020-09-11 |
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1720692353 | Lindsay Nichole Hall | Counselor | 5136 Birchwood Farms Dr, Mason, OH 45040-3621 | 2020-09-01 |
| 1053923177 | Myla Perry | Counselor | 6549 Coachlight Way, West Chester, OH 45069-2050 | 2020-08-19 |
| 1144839929 | Hollowell Counseling LLC | Counselor | 1619 Onondaga Ave, Lakewood, OH 44107-4310 | 2020-07-28 |
| Find all providers with the same taxonomy | ||||
| City | LEWIS CENTER |
| Zip Code | 43035 |
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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.