JACK KEGLEY (NPI# 1639573165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639573165 |
| Entity Type | Individual |
| Full Name | JACK KEGLEY |
| Credential | PC |
| Practice Address |
950 Meadow Dr Ste A Mount Gilead OH 43338-1389 |
| Practice Telephone | 4199474560 |
| Practice Fax Number | 4199472956 |
| Mailing Telephone | 4199474560 |
| Mailing Fax Number | 4199472956 |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C-6351 | OH | Behavioral Health & Social Service Providers |
| Street Address |
950 MEADOW DR STE A |
| City | MOUNT GILEAD |
| State | OH |
| Zip Code | 43338-1389 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336222199 | Brian Eric Votaw | Counselor | 950 Meadow Dr Ste A, Mount Gilead, OH 43338 | 2006-10-23 |
| 1306408919 | Delia Fortier | Case Manager/Care Coordinator | 950 Meadow Dr Ste A, Mount Gilead, OH 43338-1389 | 2019-07-03 |
| 1265936918 | Christie L Storie | Licensed Practical Nurse | 950 Meadow Dr Ste A, Mount Gilead, OH 43338-1389 | 2018-03-19 |
| 1346754827 | Tara Christine Dean | Social Worker | 950 Meadow Dr Ste A, Mount Gilead, OH 43338-1389 | 2017-11-20 |
| 1083131361 | Dena Smith | Case Manager/Care Coordinator | 950 Meadow Dr Ste A, Mount Gilead, OH 43338-1389 | 2017-08-28 |
| 1043697121 | Brandon Riggilo-clark | Social Worker | 950 Meadow Dr Ste A, Mount Gilead, OH 43338-1389 | 2015-04-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811340458 | Courtnie Kay Howell | Counselor | 245 Neal Avenue, Mt Gilead, OH 43338 | 2016-07-19 |
| 1609222488 | Frederick Grant Jr. | Counselor | 528 W Marion Rd, Mount Gilead, OH 43338 | 2016-05-10 |
| 1073912796 | Lori J Depinet-spears | Counselor | 950 Meadow Dr Ste C, Mount Gilead, OH 43338 | 2014-08-19 |
| 1386069854 | Christine Rogers | Speech-Language Pathologist | 630 Bank Street, Mt. Gilead, OH 43338 | 2014-02-20 |
| 1285956243 | Leslie Michellle Matthews | Occupational Therapy Assistant | 810 W Marion St, Mt. Gilead, OH 43338 | 2010-02-18 |
| 1164685319 | Sharon Kay Blocksom | Registered Nurse | 5697 County Road 93, Mount Gilead, OH 43338 | 2008-07-08 |
| 1629290085 | Morrow County Board of Mrdd | Day Training, Developmentally Disabled Services | 440 Douglas Street, Mount Gilead, OH 43338 | 2007-05-03 |
| 1982727202 | Peggy Marie Craig | Registered Nurse | 7021 State Route #614 North, Mt Gilead, OH 43338 | 2007-04-10 |
| 1780726950 | Joe Richard Prater | Nurse Anesthetist, Certified Registered | 651 West Marion Road, Mt. Gilead, OH 43338 | 2007-02-13 |
| 1851473706 | John Grant Galbraith | Family Medicine | 6519 State Route 42, Mount Gilead, OH 43338 | 2006-10-19 |
| Find all providers in zip 43338 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902307432 | Charles Pickering | Counselor | 950 Meadow Dr, Mount Gilead, OH 43338-1389 | 2018-02-21 |
| 1205062924 | Breanne Grooms | Counselor | 245 Neal Ave, Mount Gilead, OH 43338-9372 | 2009-06-09 |
| 1669560876 | Douglas Wayne Henry | Counselor | 950 Meadow Dr, Suite A, Mount Gilead, OH 43338-1055 | 2006-10-11 |
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| 1982203246 | Kimberly Fuller, Lisw, LLC | Counselor | 2291 W 38th St, Cleveland, OH 44113-3867 | 2020-10-19 |
| 1255930467 | Jessica Becka LLC | Counselor | 5206 Tillman Ave, Cleveland, OH 44102-2248 | 2020-10-19 |
| 1487251187 | Kara Archer | Counselor | 224 Columbus Rd # 724, Athens, OH 45701-1334 | 2020-10-06 |
| 1629675541 | Shayna Mell | Counselor | 4542 Wilburn Dr, Cleveland, OH 44121-3863 | 2020-10-04 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT GILEAD |
| Zip Code | 43338 |
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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.