WALTER CARLOS LANDERER III (NPI# 1679055453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679055453 |
| Entity Type | Individual |
| Full Name | WALTER CARLOS LANDERER III |
| Practice Address |
228 N Barron St Eaton OH 45320-1704 |
| Mailing Address |
116 Floyd St Lewisburg OH 45338-8086 |
| Practice Telephone | 9374567694 |
| Mailing Telephone | 9376814796 |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-08-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| Street Address |
228 N BARRON ST |
| City | EATON |
| State | OH |
| Zip Code | 45320-1704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780738567 | Darke County Recovery Services | Community/Behavioral Health | 228 N Barron St, Eaton, OH 45320-1704 | 2007-01-22 |
| 1578105235 | Jennie Lynne Newton | Prevention Professional | 228 N Barron St, Eaton, OH 45320-1704 | 2019-10-15 |
| 1922586965 | Mearl J Hodges | Prevention Professional | 228 N Barron St, Eaton, OH 45320-1704 | 2018-08-01 |
| 1942790175 | Lisa Marie Landerer | Counselor | 228 N Barron St, Eaton, OH 45320-1704 | 2018-05-14 |
| 1578072484 | Sarah Kayeann Shiverdecker | Social Worker | 228 N Barron St, Eaton, OH 45320-1704 | 2017-09-22 |
| 1790145035 | David Crowe | Counselor | 228 N Barron St, Eaton, OH 45320-1704 | 2016-02-29 |
| 1326405192 | Eric Cecys | Counselor | 228 N Barron St, Eaton, OH 45320-1704 | 2016-01-25 |
| 1154787612 | Bianca Teeters | Counselor | 228 N Barron St, Eaton, OH 45320-1704 | 2016-01-13 |
| 1881081545 | Timothy Cook | Counselor | 228 N Barron St, Eaton, OH 45320-1704 | 2015-04-21 |
| 1093115222 | Deborah K. Hater | Counselor | 228 N Barron St, Eaton, OH 45320-1704 | 2014-08-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144676776 | Samantha Chrismer | Specialist/Technologist | 209 Debbie Dr, Eaton, OH 45320 | 2016-05-12 |
| 1316307465 | Elizabeth Ann Davison | Specialist/Technologist | 112 Fiord Drive, Eaton, OH 45320 | 2016-03-02 |
| 1073916714 | Claudia A Purdon | Registered Nurse | 2072 Route 127 North, Eaton, OH 45320 | 2014-10-08 |
| 1023424629 | Aileen Erbacher | Counselor | 225 N. Barron St., Eaton, OH 45320 | 2014-07-03 |
| 1871811992 | Jessica Leigh Falkner | Licensed Practical Nurse | 115 E Mechanic St, Eaton, OH 45320 | 2010-05-13 |
| 1407090087 | Jayne M. Prushing | Occupational Therapist | 911 West Main St., Triangle Therapy Services, LLC, Eaton, OH 45320 | 2009-04-27 |
| 1760621247 | Laura Emrick | Registered Nurse | 211 West Main St, Eaton, OH 45320 | 2009-02-06 |
| 1013106194 | Preble County Regional Dialysis Inc | Clinic/Center | 450 D Washington Jackson Rd, Eaton, OH 45320 | 2007-10-15 |
| 1548453483 | Nancy Reed | Massage Therapist | 36 Shield Dr, Eaton, OH 45320 | 2007-08-23 |
| 1710182597 | Catherine Christine Thacker | Massage Therapist | 115 W Main Street, Eaton, OH 45320 | 2007-06-20 |
| Find all providers in zip 45320 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508318 | Rosemarie Czechanski | Peer Specialist | 163 E Bridge St Apt 308, Berea, OH 44017-2187 | 2020-11-03 |
| 1396345989 | Kyle Johnston | Peer Specialist | 10525 Clifton Blvd Apt 3, Cleveland, OH 44102-1586 | 2020-11-01 |
| 1053911792 | Ryan Caleb Thomason | Peer Specialist | 3554 Raymont Blvd, University Heights, OH 44118-2604 | 2020-10-30 |
| 1104425883 | David Lashore Thomas | Peer Specialist | 55 W Bagley Rd, Berea, OH 44017-1916 | 2020-10-22 |
| 1871192039 | Terra Lynn Davis | Peer Specialist | 1074 Larkens Way, Medina, OH 44256-1277 | 2020-10-20 |
| 1972101012 | Cindy Ann Kozlik | Peer Specialist | 600 W.superior Ave, Cleveland, OH 44113 | 2020-10-12 |
| 1053918565 | Tina Louise Neal | Peer Specialist | 3637 Green Rd, Cleveland, OH 44122-5779 | 2020-10-07 |
| 1326645805 | Kristen Krajewski | Peer Specialist | 3105 Woodbridge Ave, Cleveland, OH 44109-2175 | 2020-10-07 |
| 1659978500 | Brandy Dawn Altop | Peer Specialist | 9221 Hooper Rd, Athens, OH 45701-3365 | 2020-10-05 |
| 1649887993 | Patricia A Mairet | Peer Specialist | 23 W College Ave, Springfield, OH 45504-2506 | 2020-09-29 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WALTER CARLOS LANDERER III.
| 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.