MALLORY COLLEEN GILLESPIE (NPI# 1619485257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619485257 |
| Entity Type | Individual |
| Full Name | MALLORY COLLEEN GILLESPIE |
| Credential | BS, CDCA |
| Practice Address |
2300 Wall St Ste F Cincinnati OH 45212-2794 |
| Mailing Address |
446 Morgan St Cincinnati OH 45206-2348 |
| Practice Telephone | 5138347063 |
| Practice Fax Number | 5138731567 |
| Mailing Telephone | 5138347063 |
| Mailing Fax Number | 5138731567 |
| Enumeration Date | 2018-01-17 |
| Last Update Date | 2018-03-17 |
| 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) |
CDCA.165806 | OH | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5108 Sandy Ln, Fairfield, OH 450142738 | 5138347063 | 5138731567 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184193377 | Mallory Gillespie | Physical Therapist | 4383 Northlake Blvd Ste 309, Palm Beach Gardens, FL 33410-6253 | 2018-11-16 |
| Street Address |
2300 WALL ST STE F |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45212-2794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871999151 | Elizabeth Schmidt | Counselor | 2300 Wall St Ste F, Cincinnati, OH 45212-2794 | 2014-11-13 |
| 1821587775 | Matthew Peterson | Counselor | 2300 Wall St Ste F, Cincinnati, OH 45212 | 2018-05-07 |
| 1093228538 | Kelsey Otten | Counselor | 2300 Wall St Ste F, Cincinnati, OH 45212 | 2017-11-07 |
| 1649780073 | Karen Denise Hipsher | Social Worker | 2300 Wall St Ste F, Cincinnati, OH 45212 | 2017-10-12 |
| 1164965166 | Jake Smith | Counselor | 2300 Wall St Ste F, Cincinnati, OH 45212-2794 | 2016-11-22 |
| 1447704416 | Nicole Litvak | Counselor | 2300 Wall St Ste F, Cincinnati, OH 45212 | 2016-08-08 |
| 1609329549 | Kristi Bates | Registered Nurse | 2300 Wall St Ste F, Cincinnati, OH 45212-2794 | 2016-07-27 |
| 1972056828 | Robert Little | Counselor | 2300 Wall St Ste F, Cincinnati, OH 45212-2794 | 2016-07-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013568930 | Kelly Diane Weber | Social Worker | Va Behavioral Health and Wellness Center, 4600 Smith Road, Norwood, OH 45212 | 2019-09-23 |
| 1629566039 | Jessica Lee Eckstein | Nurse Practitioner | 4805 Montgomery Rd Ste 154, Cincinnati, OH 45212 | 2018-05-01 |
| 1578092847 | Kerry Ellen Ragland | Counselor | 2300 Wall Street, Cincinnati, OH 45212 | 2017-06-08 |
| 1912256454 | Helen Virginia Blackshire | Occupational Therapy Assistant | 4750 Wesley Avenue Suite J, Cincinnati, OH 45212 | 2012-08-30 |
| 1902154933 | Shelby Davis Lewis | Social Worker | 4750 Wesley Avenue, Suite J, Cincinnati, OH 45212 | 2012-08-23 |
| 1366727133 | Kelly Gray | Pharmacist | 4605 Montgomery Road, Norwood, OH 45212 | 2011-10-12 |
| 1588981351 | Stephen M Zitelli | Family Medicine | 1775 Lexington Ave, Cincinnati, OH 45212 | 2010-05-03 |
| 1699952416 | David William Barr | Marriage & Family Therapist | 4301 Smith Road, Cincinnati, OH 45212 | 2008-01-23 |
| 1780704718 | Douglas A Dix | Dentist | 5451 Montgomery Road, Cincinnati, OH 45212 | 2007-03-31 |
| 1376615104 | Orthopedic Diagnostic & Treatment Ctr Inc | Orthopaedic Surgery | 4600 Smith Road, Suite B, Norwood, OH 45212 | 2006-11-15 |
| Find all providers in zip 45212 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050827 | Sonya L Dowdell | Counselor | 3127 Worthington Ave Apt 3, Cincinnati, OH 45211-7331 | 2020-07-10 |
| 1487273694 | Sharon White | Counselor | 123 Burley Cir, Cincinnati, OH 45218-1339 | 2020-04-09 |
| 1366077174 | Lawanda Antoinette Price | Counselor | 5122 Glenway Crossing Way, Cincinnati, OH 45238 | 2020-03-12 |
| 1982235636 | Narcotic Addiction Recovery Center LLC | Counselor | 2123 Auburn Ave Ste 310, Cincinnati, OH 45219-2906 | 2020-01-31 |
| 1699316398 | Babette Mccray | Counselor | 909 Sycamore St Ste 400, Cincinnati, OH 45202-1306 | 2019-10-03 |
| 1689223158 | Michael Brubaker | Counselor | 2610 Mcmicken Circle University of Cincinnati, Cincinnati, OH 45221-0001 | 2019-09-08 |
| 1033766241 | Stephanie Ann Hayes | Counselor | 42 East Crescentville Drive, Cincinnati, OH 45246 | 2019-08-22 |
| 1457816118 | Linda Sue Hughes | Counselor | 4531 Reading Road, Cincinnati, OH 45229 | 2019-02-07 |
| 1124598289 | Arthur Wilson Jr. | Counselor | 670 Northland Blvd Unit 46442, Cincinnati, OH 45246-7614 | 2018-12-03 |
| 1679049233 | Tiesha G Powell | Counselor | 1 N Commerce Park Dr # 318, Cincinnati, OH 45215-3187 | 2018-10-22 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45212 |
Please comment or provide details below to improve the information on MALLORY COLLEEN GILLESPIE.
| 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.