PROF. DALE MICHAEL MINOR (NPI# 1669782322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669782322 |
| Entity Type | Individual |
| Full Name | PROF. DALE MICHAEL MINOR |
| Other Name | DR. DALE MICHAEL MINOR |
| Credential | PHD |
| Practice Address |
8699 Terrell Road Athens OH 45701-9325 |
| Mailing Address |
94 Columbus Road Suite A4 Athens OH 45701-1312 |
| Practice Telephone | 7405925195 |
| Mailing Telephone | 7405924615 |
| Mailing Fax Number | 7405924615 |
| Enumeration Date | 2010-10-15 |
| Last Update Date | 2010-10-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | 0008212 | OH | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
061009 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | CAQH | 12128803 | 01 |
| Street Address |
8699 TERRELL ROAD |
| City | ATHENS |
| State | OH |
| Zip Code | 45701-9325 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508797 | Vince R Koping | Pharmacist | 929 East State St, Athens, OH 45701 | 2020-11-06 |
| 1164051926 | Rachel Staker | Student in an Organized Health Care Education/Training Program | 86 Circle Drive, Suite 203, Athens, OH 45701 | 2020-04-03 |
| 1932736709 | Maria Augusta Suarez-hamman | Student in an Organized Health Care Education/Training Program | 86 Columbus Circle, Suite 203, Athens, OH 45701 | 2020-03-23 |
| 1831746882 | Justin Joseph Moakler | Specialist/Technologist | Ohio University Athens Training Facility, Grover Center E 187, Athens, OH 45701 | 2019-08-23 |
| 1275186991 | Barry Brady | Psychologist | Hudson Health Center, 3rd Floor 1 Ohio University, Athens, OH 45701 | 2019-07-22 |
| 1821559691 | Mary N Lee | Student in an Organized Health Care Education/Training Program | 1 Ohio Univerisity Dept of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2019-03-26 |
| 1275007692 | Gabrielle Ruth Wesemeyer | Student in an Organized Health Care Education/Training Program | 6 South Congress Street, Athens, OH 45701 | 2019-01-18 |
| 1528551918 | Bradford Thomas Meyers | Psychologist | 1 University Ave, Ohio University, Athens, Oh 45701, Athens, OH 45701 | 2018-06-11 |
| 1912499344 | William Monopoli | Student in an Organized Health Care Education/Training Program | 1 Ohio University Department of Psychology, Porter Hall Room 002, Athens, OH 45701 | 2018-06-01 |
| 1477044113 | 59 Green Ltd. | Taxi | 14 Cook Drive, Athens, OH 45701 | 2018-05-29 |
| Find all providers in zip 45701 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062218 | Mary Mckaleigh Cole | Counselor | 188 Ben Burton Circle, #100, Athens, GA 30266 | 2018-08-07 |
| 1033583612 | Annie Borba | Counselor | 519 Brewer St, Athens, TN 37303-4618 | 2015-11-19 |
| 1477833135 | Children's Crisis Prevention Network, Inc. | Counselor | 7479 State Highway 19 S, Athens, TX 75751-8979 | 2011-08-25 |
| 1770863573 | Gregory Rawson Davis | Counselor | 210 Deertree Dr, Athens, GA 30605-4576 | 2011-08-24 |
| 1326226978 | Mary Jo Dowdy | Counselor | 2340 Prince Ave, Athens, GA 30606-6004 | 2008-02-06 |
| 1306052394 | Jennifer Leanne Gonyea | Counselor | 1690 S Milledge Ave, Athens, GA 30605-1453 | 2007-05-15 |
| 1043432917 | Nelda F Yee | Counselor | 165 E Dougherty St, Athens, GA 30601-2608 | 2007-05-02 |
| 1023156528 | Marlene J Scheck | Counselor | 9322b Johnson Road, Athens, OH 45701-9028 | 2007-02-05 |
| 1356418040 | Mary Rose Hilchey | Counselor | 123 Washington Ave, Restoration Counseling, Athens, TN 37371 | 2006-11-29 |
| 1629683529 | Celia D Anderson | Counselor | 90 Hospital Dr, Athens, OH 45701-2301 | 2020-09-09 |
| Find all providers in ATHENS | ||||
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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.