KARISSA DELORME-SHIVES (NPI# 1639684590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639684590 |
| Entity Type | Individual |
| Full Name | KARISSA DELORME-SHIVES |
| Credential | LPC |
| Practice Address |
2555 S Dixie Dr Ste 260 Dayton OH 45409 |
| Mailing Address |
2555 S Dixie Dr Ste 260 Dayton OH 45409-1542 |
| Practice Telephone | 9378539061 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2018-11-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
C.1801339 | OH | Behavioral Health & Social Service Providers |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0298803 | 05 | |
| OH | OH COUNSELOR, SOCIAL WORKER, & MFT BOARD | C.1801339 | 01 |
| Street Address |
2555 S DIXIE DR STE 260 |
| City | DAYTON |
| State | OH |
| Zip Code | 45409 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770802720 | Vanita O'neal | Social Worker | 2555 S Dixie Dr Ste 260, Dayton, OH 45409-1542 | 2010-05-28 |
| 1427675172 | Martha J Freese | Case Manager/Care Coordinator | 2555 S Dixie Dr Ste 260, Dayton, OH 45409-1542 | 2020-06-29 |
| 1790310795 | Katrina L Corn | Case Manager/Care Coordinator | 2555 S Dixie Dr Ste 260, Dayton, OH 45409-1542 | 2020-03-10 |
| 1922638402 | Emily N Riggs | Social Worker | 2555 S Dixie Dr Ste 260, Dayton, OH 45409-1542 | 2020-01-23 |
| 1376186783 | Aaron E Lopez | Social Worker | 2555 S Dixie Dr Ste 260, Dayton, OH 45409-1542 | 2019-10-18 |
| 1396202578 | Danielle Northcutt | Social Worker | 2555 S Dixie Dr Ste 260, Dayton, OH 45409-1542 | 2019-02-25 |
| 1720555709 | Ashley L Mitterholzer | Case Manager/Care Coordinator | 2555 S Dixie Dr Ste 260, Dayton, OH 45409-1542 | 2018-10-29 |
| 1255810040 | Bethany Ann Ederer | Social Worker | 2555 S Dixie Dr Ste 260, Dayton, OH 45409-1542 | 2018-08-13 |
| 1396241121 | Melanie Ferguson | Case Manager/Care Coordinator | 2555 S Dixie Dr Ste 260, Dayton, OH 45409-1542 | 2018-04-02 |
| 1649717547 | Kari Lynn Harris | Counselor | 2555 S Dixie Dr Ste 260, Dayton, OH 45409-1542 | 2017-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487276457 | Matthew R Schaeffer | Surgery | 128 E Apple St., Wche 7th Floor, Dayton, OH 45409 | 2020-05-13 |
| 1699237545 | Elizabeth Joan Hudson | Student in an Organized Health Care Education/Training Program | 1 Wyoming Street Miami Valley Hospital Medical Educatio, Dayton, OH 45409 | 2019-04-01 |
| 1760941066 | Courtney Lyn Johnson | Surgery | 128 East Apple Street, Wche 7th Floor, Dayton, OH 45409 | 2019-03-16 |
| 1477057529 | Adam Joseph Langer | Student in an Organized Health Care Education/Training Program | 128 E. Apple St Suite 3800, Wright State University Dept of Ob/gyn, Dayton, OH 45409 | 2018-03-22 |
| 1659870939 | Timothy Wall | Student in an Organized Health Care Education/Training Program | 128 East Apple St., 2nd Floor, Dayton, OH 45409 | 2018-02-01 |
| 1124551411 | Adam Schmerge Deardorff | Student in an Organized Health Care Education/Training Program | 30 E Apple St Ste 6257, Dayton, OH 45409 | 2017-04-04 |
| 1205205358 | Kelby Snorf | Physician Assistant | 30 E Apple Street, Suite 3300, Dayton, OH 45409 | 2015-09-18 |
| 1689054223 | Jessica Ezinne Ugwu | Family Medicine | 30 E Apple St., Suite Nw 3300, Dayton, OH 45409 | 2015-06-08 |
| 1679983084 | Jude Anneryan Cohen | Registered Nurse | 1200 W. Dorothy Lane, Southdale Elementary School, Kettering, OH 45409 | 2014-05-07 |
| 1730517087 | Jesse Wayne Clark | Counselor | 65 Grady Ct, Dayton, OH 45409 | 2013-10-24 |
| Find all providers in zip 45409 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891302188 | Five Rivers Health Centers | Counselor | 120 W Apple St Ste 100, Dayton, OH 45402-2617 | 2020-09-30 |
| 1316571748 | Kristy Sue Dillon | Counselor | 8801 N Main St, Dayton, OH 45415-1385 | 2020-02-25 |
| 1952892135 | New Hope New Liberty Counseling, Pllc | Counselor | 410 E Waring St, Dayton, TX 77535-1833 | 2018-05-23 |
| 1427588060 | Daniel Wick | Counselor | 1 Elizabeth Pl Ste 190, Dayton, OH 45417-3445 | 2017-06-15 |
| 1003341744 | Chuckeia Folley | Counselor | 508 Heather Dr Apt 3, 3, Dayton, OH 45405-1731 | 2017-05-01 |
| 1205374055 | Melissa Deaton Cook | Counselor | Suite D 206 Main Street, Dayton, VA 22821-0910 | 2017-02-01 |
| 1851837041 | Jessica White | Counselor | 727 Grafton Ave, Dayton, OH 45406-5256 | 2017-01-11 |
| 1093186561 | Scott Campbell | Counselor | 11 W Monument Ave, Ste 310, Dayton, OH 45402-1274 | 2015-10-09 |
| 1770959751 | Debbie Lyn Gunnels | Counselor | 327 Misty Oaks Ct, Dayton, OH 45415-1370 | 2015-08-13 |
| 1750775110 | Nicole C Duff | Counselor | Six Patterson Blvd, Sbhi- Cam, Dayton, OH 45402 | 2015-03-24 |
| Find all providers in DAYTON | ||||
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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.