TRILLIUM FAMILY SOLUTIONS INC (NPI# 1629034830) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629034830 |
| Entity Type | Organization |
| Organization Name | TRILLIUM FAMILY SOLUTIONS INC |
| Practice Address |
624 Market Ave N Canton OH 44702-1017 |
| Practice Telephone | 3304547066 |
| Practice Fax Number | 3304549427 |
| Mailing Telephone | 3304547066 |
| Mailing Fax Number | 3304549427 |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2012-03-06 |
| Authorized Official Name | MRS. KATHY K TRUBISKY (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 3304547066 |
| Authorized Official Credential | MED EDS LPC-S |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 261Q00000X | Clinic/Center | 524 | OH | Ambulatory Health Care Facilities |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
524 | OH | Ambulatory Health Care Facilities |
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
524 | OH | Ambulatory Health Care Facilities |
| N | 261Q00000X | Clinic/Center | 10023 | OH | Ambulatory Health Care Facilities |
| N | 3336C0002X |
Pharmacy Specialization: Clinic Pharmacy |
021542450 | OH | Suppliers |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
524 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | MACSIS UPI | 10023 | 01 |
| OH | 2098340 | 05 |
| Street Address |
624 MARKET AVE N |
| City | CANTON |
| State | OH |
| Zip Code | 44702-1017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376159467 | Alissa Kiefer | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-09-23 |
| 1932715042 | Michelle Adkins | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-09-23 |
| 1659987758 | Christine Pitts | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-09-23 |
| 1508478165 | Abbie Eileen Ricketson | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-08-17 |
| 1770195323 | Jack Cameron | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-08-17 |
| 1336767565 | Sidney Cowart | Case Manager/Care Coordinator | 624 Market Ave N, Canton, OH 44702-1017 | 2020-07-14 |
| 1194347328 | Cianna A Dorando | Counselor | 624 Market Ave N, Canton, OH 44702-1017 | 2020-05-11 |
| 1518588979 | Cynthia M Cox | Counselor | 624 Market Ave N, Canton, OH 44702-1017 | 2020-04-27 |
| 1053944298 | Megen Yerman | Nurse Practitioner | 624 Market Ave N, Canton, OH 44702-1017 | 2020-02-17 |
| 1164053195 | Audrey Meadows Perry | Counselor | 624 Market Ave N, Canton, OH 44702-1017 | 2020-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1710426291 | Aaron Valentine | Community Health Worker | 401 West Tuscarawas Street, Suite 501, Canton, OH 44702 | 2017-02-17 |
| 1386028389 | Leigh Fotheringham | Skilled Nursing Facility | 800 Market Ave. North, Canton, OH 44702 | 2015-07-20 |
| 1427485127 | Canton College Preparatory School | Local Education Agency (LEA) | 101 Cleveland Avenue Nw, Canton, OH 44702 | 2013-09-26 |
| 1730337197 | Linda Lee Gemma | Registered Nurse | 733 Market St South, Canton, OH 44702 | 2008-08-28 |
| 1447372875 | Rushina Anil Patel | Physical Therapist | 800 Market Ave N, Canton, OH 44702 | 2007-04-05 |
| 1124183702 | John Mannos | Family Medicine | 333 2nd St Se, Canton, OH 44702 | 2006-12-26 |
| 1629556949 | Judy Chava | Nurse Practitioner | 400 Tuscarawas St W, Canton, OH 44702 | 2018-07-30 |
| 1407359656 | Reginald A Corner | Case Manager/Care Coordinator | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-03-14 |
| 1962901595 | Amber Nichole Strong | Social Worker | 401 Tuscarawas St W Ste 501, Canton, OH 44702 | 2018-02-09 |
| Find all providers in zip 44702 | ||||
| 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 |
|---|---|---|---|---|
| 1003307810 | Lenzy Family Institute | Clinic/Center | 1930 Fulton Rd Nw Ste 103, Canton, OH 44709-3526 | 2018-05-29 |
| 1407976285 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 229 Martin Ave, Canton, IL 61520-2520 | 2007-03-29 |
| 1053437384 | Josephine E. Glover, Dba | Clinic/Center | 2719 Cleveland Ave Nw, Canton, OH 44709-3309 | 2007-03-21 |
| 1831601913 | Peter Perrotta Ms., Lpc., Ladc., LLC | Clinic/Center | 50 Albany Tpke Ste 3010, Canton, CT 06019-2555 | 2017-10-30 |
| 1235477969 | Seeking Out Solutions | Clinic/Center | 259 Albany Tpke, Canton, CT 06019-2557 | 2013-01-31 |
| 1710238613 | Phoenix Rising Behavioral Healthcare and Recovery, Inc | Clinic/Center | 624 Market Ave N, Canton, OH 44702-1017 | 2012-10-02 |
| 1194045898 | Lutheran Social Services of Il | Clinic/Center | 700 E Oak St, Suite 203, Canton, IL 61520-3157 | 2010-06-03 |
| 1891906921 | Priority Care, Inc. | Clinic/Center | 1044 Lilly Ave Ne, Canton, OH 44730-1440 | 2007-05-24 |
| 1588784912 | North Central Behavioral Health Systems, Inc. | Clinic/Center | 229 Martin Ave, Canton, IL 61520-2520 | 2007-03-30 |
| 1962536854 | Human Development and Counseling Assoc Inc | Clinic/Center | 4792 Munson St Nw, Munson Professional Centre, Canton, OH 44718-3630 | 2007-03-15 |
| Find all providers in CANTON | ||||
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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.