DERRICK HODGE (NPI# 1629608260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629608260 |
| Entity Type | Individual |
| Full Name | DERRICK HODGE |
| Credential | LCDCIII |
| Practice Address |
1649 Brice Rd Ste C Reynoldsburg OH 43068-2796 |
| Practice Telephone | 6143005878 |
| Mailing Telephone | 6143005878 |
| Enumeration Date | 2020-01-23 |
| Last Update Date | 2020-01-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
1649 BRICE RD STE C |
| City | REYNOLDSBURG |
| State | OH |
| Zip Code | 43068-2796 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467826453 | First Step Recovery Center | Family Medicine | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2015-11-14 |
| 1568061810 | Emily Crowder | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-10-19 |
| 1700496452 | Shaylie Dearing | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-08-07 |
| 1184241283 | David Moore | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-07-06 |
| 1437770906 | Carol Welsh | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-05-06 |
| 1437787710 | Sierra N Shuster | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-03-31 |
| 1366079352 | Jan V Williams | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-03-27 |
| 1093348583 | Angela M Davis-mcgraw | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-02-13 |
| 1396385811 | Valerie Spears | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-01-13 |
| 1780239335 | Bryanne Johnson | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2019-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871107235 | Laura Lynn Mason | In Home Supportive Care | 1788 Pickering Drive, Reynoldburg, OH 43068 | 2020-09-03 |
| 1952929267 | Devon Marie Kaster | Physical Therapy Assistant | 14176 National Road Sw, Reynoldsburg, OH 43068 | 2020-07-13 |
| 1366061830 | Ashlie Bielski | Case Manager/Care Coordinator | 1900 Brie Rd, Reynoldsburg, OH 43068 | 2020-04-14 |
| 1336703115 | Primary Healthcare Services, LLC | Home Health | 1618 Lancaster Avenue, Reynoldsburg, OH 43068 | 2019-04-26 |
| 1902391311 | Joshua K. Portwood | Counselor | 1900 Brice Rd., Reynoldsburg, OH 43068 | 2018-06-27 |
| 1912413204 | Robinet Elane Smith | Home Health Aide | 2584 Breanna Pl, Reynoldsburg, OH 43068 | 2017-12-21 |
| 1225548142 | Lalise Tesfaye Senbeta | Registered Nurse | 796 Whistlewood, Reynoldsburg, OH 43068 | 2017-10-05 |
| 1932619970 | Whitehall Cap Inc | Counselor | 1900 Brice Rd, Reynoldsburg, OH 43068 | 2017-10-04 |
| 1366966681 | Jodie Kimbler | Home Health Aide | 1363 Glenview St, Reynoldsburg, OH 43068 | 2017-07-28 |
| 1154851673 | Erin R Smith | Pharmacist | 8460 East Main Street, Reynoldsburg, OH 43068 | 2017-06-18 |
| Find all providers in zip 43068 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902391311 | Joshua K. Portwood | Counselor | 1900 Brice Rd., Reynoldsburg, OH 43068 | 2018-06-27 |
| 1265947378 | Stephanie Lee Delaney | Counselor | 6434 E Main St Ste 201, Reynoldsburg, OH 43068-7300 | 2017-12-12 |
| 1477917748 | Mallory Logan Frederick | Counselor | 6434 E Main St, 201, Reynoldsburg, OH 43068 | 2016-04-12 |
| 1649684440 | Ralph Anthony | Counselor | 9109 Mcmahon Ct, Reynoldsburg, OH 43068-6767 | 2014-06-19 |
| 1245660752 | Ellaree Louise Simpson | Counselor | 7654 Slate Ridge Blvd., Reynoldsburg, OH 43068 | 2013-11-19 |
| 1316081078 | L Brian Patterson | Counselor | 6402 E Main St Ste 103, Reynoldsburg, OH 43068-2356 | 2007-02-16 |
| 1568061810 | Emily Crowder | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-10-19 |
| 1700496452 | Shaylie Dearing | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-08-07 |
| 1184241283 | David Moore | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-07-06 |
| 1437770906 | Carol Welsh | Counselor | 1649 Brice Rd Ste C, Reynoldsburg, OH 43068-2796 | 2020-05-06 |
| Find all providers in REYNOLDSBURG | ||||
| City | REYNOLDSBURG |
| Zip Code | 43068 |
Please comment or provide details below to improve the information on DERRICK HODGE.
| 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.