KELLY KOLBERG (NPI# 1649821018) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649821018 |
| Entity Type | Individual |
| Full Name | KELLY KOLBERG |
| Practice Address |
12041 Ravenna Rd Chardon OH 44024-7008 |
| Practice Telephone | 4402867154 |
| Practice Fax Number | 4402861037 |
| Mailing Telephone | 4402867154 |
| Mailing Fax Number | 4402861037 |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2019-09-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | Agencies |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 12041 Ravenna Rd, Chardon, OH 440247008 | 4402867154 | 4402861037 |
| Street Address |
12041 RAVENNA RD |
| City | CHARDON |
| State | OH |
| Zip Code | 44024-7008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437429628 | Jennifer Lanza-linn | Counselor | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2012-01-05 |
| 1124632088 | Susan Milde | Case Manager/Care Coordinator | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2020-09-08 |
| 1639783590 | Chris Tate | Case Manager/Care Coordinator | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2020-09-08 |
| 1376155291 | Lillian Brooke | Case Management | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2020-08-21 |
| 1790396729 | Cassandra N Kaleal | Case Manager/Care Coordinator | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2020-08-13 |
| 1265043590 | Rachael Resnick | Case Manager/Care Coordinator | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2020-08-11 |
| 1942810502 | Elise Elston | Case Manager/Care Coordinator | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2020-08-07 |
| 1548885387 | Caretha Ferguson | Case Manager/Care Coordinator | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2020-06-08 |
| 1639793425 | Kim Schoval | Case Manager/Care Coordinator | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2020-06-08 |
| 1205450244 | Katherine Farizel | Case Management | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2020-06-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992336770 | Amanda Nicole Nelson | Technician, Other | 133 Up Main St, Chardon, OH 44024 | 2020-01-30 |
| 1679067011 | Janai Marshae Seng | Dentist | 401 South Street #3a, Chardon, OH 44024 | 2018-06-19 |
| 1376036475 | Kasandra Leigh Chapman | Social Worker | 12941 Ravenna Road, Chardon, OH 44024 | 2018-06-13 |
| 1275068652 | Danielle Tilton | Nurse Practitioner | 531 Fifth Ave, Chardon, OH 44024 | 2017-04-24 |
| 1881057040 | Erin Marie Moore | Counselor | 203 Main St., Chardon, OH 44024 | 2016-04-04 |
| 1649689886 | Hope Anne Super | Speech-Language Pathologist | 100 7th Av Suite 255, Chardon, OH 44024 | 2014-08-12 |
| 1740600022 | Elisha Tzvi Fredman | Student in an Organized Health Care Education/Training Program | 13207 Chardon Road, Ravenna, OH 44024 | 2014-04-24 |
| 1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
| 1174947212 | Frank Scarano | Psychologist | 470 Center Street, Chardon, OH 44024 | 2014-02-10 |
| 1659706497 | Jamie Henderson | Physical Therapy Assistant | 9348 South Brown Rd, Chardon, OH 44024 | 2013-09-12 |
| Find all providers in zip 44024 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376155291 | Lillian Brooke | Case Management | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2020-08-21 |
| 1205450244 | Katherine Farizel | Case Management | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2020-06-05 |
| 1265065809 | Brandi Kraynik | Case Management | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2020-02-21 |
| 1538701362 | Amanda Ann Brafford | Case Management | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2019-10-14 |
| 1295376465 | Melissa Deaton | Case Management | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2019-09-30 |
| 1578035978 | Christina Marie Ciofani | Case Management | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2018-12-23 |
| 1588136329 | Kellie Blauman | Case Management | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2018-12-18 |
| 1588163307 | Terra Marie Thorpe | Case Management | 12041 Ravenna Rd, Chardon, OH 44024-7008 | 2018-02-07 |
| 1770882896 | Ravenwood Mental Health Center | Case Management | 12557 Ravenwood Dr, Chardon, OH 44024-9009 | 2011-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669073714 | Jenny Mccloy | Case Management | 1361 W Main St, Zanesville, OH 43701-3123 | 2020-11-05 |
| 1780281634 | Healing Courageously LLC | Case Management | 3459 Cheltenham Rd Apt 12, Toledo, OH 43606-1881 | 2020-10-05 |
| 1992312896 | Mindful Behavioral Care LLC | Case Management | 600 Regina Pkwy, Toledo, OH 43612-3328 | 2020-09-25 |
| 1629685482 | Nevaeh Care LLC | Case Management | 140 Grand Trunk Ave Sw Ste E, Hartville, OH 44632-9681 | 2020-09-25 |
| 1336753110 | Momma's House Community Development Center, Inc. | Case Management | 600 Saint Joseph St, Fremont, OH 43420-4636 | 2020-08-31 |
| 1831702349 | Cared for Services LLC | Case Management | 973 Wyley Ave, Akron, OH 44306-2412 | 2020-08-25 |
| 1124638838 | Onebridge Support Services, LLC | Case Management | 387 Medina Rd Ste 600, Medina, OH 44256-9674 | 2020-08-06 |
| 1184240210 | Christopher Parrish | Case Management | 25850 Zeman Ave, Euclid, OH 44132-1821 | 2020-06-24 |
| 1811513799 | Big Brothers Big Sisters of East Central Ohio Inc | Case Management | 1260 Monroe St Nw Ste 100d, New Philadelphia, OH 44663-4160 | 2020-06-17 |
| 1851911291 | Step Higher Inc.-nellas Place | Case Management | 2648 Melrose Ave, Cincinnati, OH 45206-1602 | 2020-04-24 |
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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.