JARRETH ACKERMAN (NPI# 1619510526) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619510526 |
| Entity Type | Individual |
| Full Name | JARRETH ACKERMAN |
| Other Name | JAY ACKERMAN |
| Practice Address |
2737 Youngstown Rd Se Warren OH 44484-5002 |
| Practice Telephone | 3303698022 |
| Mailing Telephone | 3303698022 |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2019-10-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | 001173 | OH | Other Service Providers |
| Street Address |
2737 YOUNGSTOWN RD SE |
| City | WARREN |
| State | OH |
| Zip Code | 44484-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124293352 | William Theron Aley-byrne | Social Worker | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2008-04-29 |
| 1750998035 | Robert Bennett | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-09-30 |
| 1073120671 | Sheena Ahmed | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-09-28 |
| 1073124368 | Justin Wilcox | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-08-11 |
| 1497372809 | Justin Dietrich | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-07-01 |
| 1487270872 | Amber Peterson | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-06-22 |
| 1932723095 | Kristina Mihalov | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-06-04 |
| 1477177145 | Tori Clay | Substance Abuse Rehabilitation Facility | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-05-29 |
| 1386265197 | Mary Ann Stewart | Licensed Practical Nurse | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-05-04 |
| 1326677824 | Jillian Tablack | Licensed Practical Nurse | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205446283 | Jessica Toot | Behavior Technician | Oakwood Counseling Center LLC, 1704 North Road Se, Warren, OH 44484 | 2020-08-05 |
| 1558857060 | Quantina Louise Thomas | Home Health | 1548oak Knoll Se, Warren, OH 44484 | 2018-07-09 |
| 1033609706 | Justin A Houy | Massage Therapist | 8345 E. Market St. Suite C, The Chiropractic and Functional Neurology Center, Warren, OH 44484 | 2018-05-17 |
| 1679091359 | Ester Mae Butler | Nurse's Aide | 2228 Draper Avenue Se, Warren, OH 44484 | 2017-09-01 |
| 1477070811 | Amanda Lynn Heberling | Occupational Therapy Assistant | 8128 Kenyon Dr., Warren, OH 44484 | 2017-08-26 |
| 1790213650 | Joyce A Mechling | Licensed Practical Nurse | 2737 Youngstown Rd., Warren, OH 44484 | 2017-05-23 |
| 1598206898 | Stan Catullo | Substance Abuse Rehabilitation Facility | 2737 Youngstown Warren Road Se, Warren, OH 44484 | 2017-03-20 |
| 1679014054 | Pamela M Lang | Pharmacist | 1977 Niles Rd S.e., Genoa A Qol Healthcare Company, Warren, OH 44484 | 2017-03-17 |
| 1922454800 | Jeremy Michael Capetillo | Dentist | 8740 E Market St Ste 1, Warren, OH 44484 | 2016-05-10 |
| 1215311865 | Jessica Dawn Harris | Physical Therapy Assistant | 1926 Ridge Avenue, Warren, OH 44484 | 2015-07-14 |
| Find all providers in zip 44484 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437760493 | Laura Maria Devengencie | Peer Specialist | 3003 Halsey Dr Ne, Warren, OH 44483-5611 | 2020-08-13 |
| 1114545480 | Cory Lee Wright | Peer Specialist | 419 North St Nw, Warren, OH 44483-3721 | 2020-07-13 |
| 1417572850 | Kimberly Lee Slater | Peer Specialist | 709 Mahoning Ave Nw, Warren, OH 44483 | 2020-06-11 |
| 1265068498 | Jack E Wolff | Peer Specialist | 2934 Carlton Dr Nw, Warren, OH 44485-1220 | 2020-03-19 |
| 1427697788 | Kristina Ann Bridgens | Peer Specialist | 1916 Clermont Ave Ne, Warren, OH 44483-3524 | 2020-01-03 |
| 1508404682 | Jerry Silhan | Peer Specialist | 730 Paige Ave Ne, Warren, OH 44483-4951 | 2019-12-19 |
| 1043852759 | Cody A Wright | Peer Specialist | 2307 Central Parkway Ave Se, Warren, OH 44484-5240 | 2019-10-14 |
| 1225638208 | Quiana Dodson | Peer Specialist | 552 N Park Ave, Warren, OH 44481-1117 | 2020-10-28 |
| 1174157507 | Angela Olivo | Peer Specialist | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2020-02-25 |
| 1336782044 | Anna Lacy | Peer Specialist | 2737 Youngstown Rd Se, Warren, OH 44484-5002 | 2019-10-25 |
| Find all providers in WARREN | ||||
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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.