MRS. SANDRA J GRISHAM (NPI# 1699869594) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699869594 |
| Entity Type | Individual |
| Full Name | MRS. SANDRA J GRISHAM |
| Credential | LPCC |
| Practice Address |
3837 Starr Centre Drive Canfield OH 44406 |
| Mailing Address |
5500 Market St Youngstown OH 44512-2601 |
| Practice Telephone | 3307021980 |
| Mailing Telephone | 3309651221 |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-04-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
E2641 | OH | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | SZ1118 | OH | Behavioral Health & Social Service Providers |
| Street Address |
3837 STARR CENTRE DRIVE |
| City | CANFIELD |
| State | OH |
| Zip Code | 44406 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952802282 | Julie Nicole Austalosh | Case Manager/Care Coordinator | 3711 Indian Run Dr Apt 7, Canfield, OH 44406 | 2018-02-22 |
| 1073064887 | Abby Smith | Specialist/Technologist | 250 Lake Pointe Circle, Canfield, OH 44406 | 2016-10-17 |
| 1255887949 | Chris Smallwood II | Driver | 6128 St Andrews Dr, Canfield, OH 44406 | 2016-09-01 |
| 1831572064 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 41 Talsman Drive, Youngstown, OH 44406 | 2015-07-07 |
| 1568845790 | Gateways To Better Living | Intermediate Care Facility, Mentally Retarded | 3222 Forty Second Street, Youngstown, OH 44406 | 2015-07-07 |
| 1003212051 | Diane Pool | Registered Nurse | 100 Wadsworth Street, Canfield, OH 44406 | 2014-11-18 |
| 1215353990 | Jeanne Siverd | Occupational Therapy Assistant | 11300 Columbiana-canfield Rd., Suite E, Canfield, OH 44406 | 2014-03-05 |
| 1134565641 | Dema Halasa Esper | Dietitian, Registered | 52 Timber Run Dr., Canfield, OH 44406 | 2013-05-13 |
| 1851680615 | Kimberly Jean Fyock | Licensed Practical Nurse | 7720 Lydia Ln, Canfield, OH 44406 | 2011-04-01 |
| 1205060654 | Jennifer L Morris | Registered Nurse | 3787 Mercedes Place, Canfield, OH 44406 | 2009-05-13 |
| Find all providers in zip 44406 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710006077 | Toni Dimargio | Counselor | 3649 Canfield Rd, Canfield, OH 44406-9385 | 2007-03-28 |
| 1356445936 | Antoinette L Beard | Counselor | 545 N Broad St Ste 5, Canfield, OH 44406-9200 | 2006-09-12 |
| 1245724491 | Emilee Kay Richeson | Counselor | 3620 Stutz Dr, Canfield, OH 44406-9176 | 2018-06-20 |
| 1376085944 | Michelle Edenfield Counseling | Counselor | 6715 Tippecanoe Rd, Bldg E Suite L01, Canfield, OH 44406-8180 | 2016-11-13 |
| 1205200250 | Judy L. Daubenmire | Counselor | 545 N Broad St, Suite 4, Canfield, OH 44406-9200 | 2015-11-13 |
| 1730588286 | Jessica N Szenborn | Counselor | 3821 Starrs Centre Dr, Suite B, Canfield, OH 44406-8003 | 2014-08-21 |
| 1871838474 | Northeast Behavioral Health LLC | Counselor | 3821 Starrs Centre Dr, Suite B, Canfield, OH 44406-8003 | 2012-12-07 |
| 1144523713 | Well Counseling Services LLC | Counselor | 3755 S Raccoon Rd, Canfield, OH 44406-9372 | 2010-12-20 |
| 1467598987 | Cynthia Ann Kruzel-o'keefe | Counselor | 4030 Boardman Canfield Rd, Suite 200c, Canfield, OH 44406-9505 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831799006 | Kylee Masiya | Counselor | 1237 Steinbeck Way Apt E, Fairborn, OH 45324-8728 | 2020-10-27 |
| 1578160438 | Ohio Valley Goodwill Industries, Inc. | Counselor | 10600 Springfield Pike, Cincinnati, OH 45215-1121 | 2020-10-05 |
| 1972100196 | April Ballard | Counselor | 14100 Cedar Rd Ste 290, Cleveland, OH 44121-3212 | 2020-10-01 |
| 1891302188 | Five Rivers Health Centers | Counselor | 120 W Apple St Ste 100, Dayton, OH 45402-2617 | 2020-09-30 |
| 1609481233 | Dupe Esther Oluwamuyide | Counselor | 1558 Sargas St, Columbus, OH 43240-6071 | 2020-09-10 |
| 1114530698 | Jodi Rupp | Counselor | 10401 Avenue Rd, Perrysburg, OH 43551-2811 | 2020-08-25 |
| 1902418270 | Sharon S Byler Counseling, LLC | Counselor | 1511 3rd St Se, Canton, OH 44707-3246 | 2020-08-18 |
| 1336751890 | Brandi Lynne Neogra | Counselor | 207 Colegate Dr Ste D, Marietta, OH 45750-2363 | 2020-08-17 |
| 1669081980 | Stephanie Mihlbauer | Counselor | 5696 Steubenville Rd Se, Amsterdam, OH 43903-9715 | 2020-07-23 |
| 1174141543 | Emanuel G Werner | Counselor | 4033 Legend, Columbus, OH 43230-8501 | 2020-07-11 |
| Find all providers with the same taxonomy | ||||
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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.