MR. JIMMY JAY CHRISTIAN (NPI# 1730794298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730794298 |
| Entity Type | Individual |
| Full Name | MR. JIMMY JAY CHRISTIAN |
| Credential | CDCA |
| Practice Address |
6150 Park Square Dr Ste B Lorain OH 44053-4153 |
| Mailing Address |
1925 Hayes Ave Sandusky OH 44870-4737 |
| Practice Telephone | 4409843882 |
| Mailing Telephone | 4195575177 |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.173950 | OH | Behavioral Health & Social Service Providers |
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.170623 | OH | Behavioral Health & Social Service Providers |
| Street Address |
6150 PARK SQUARE DR STE B |
| City | LORAIN |
| State | OH |
| Zip Code | 44053-4153 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386878304 | Firelands Regional Medical Center | Clinic/Center | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2009-05-05 |
| 1174124184 | Katherine Stipp | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2020-11-05 |
| 1730704099 | Halle M Branscum | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2020-06-12 |
| 1972164168 | Maryssa Locher | Case Manager/Care Coordinator | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2019-06-27 |
| 1902467756 | Thomas Lee Haynie | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2019-06-24 |
| 1457910788 | Mihkaya Danielle Best | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2019-06-11 |
| 1447816681 | Ann Marie Nagel | Case Manager/Care Coordinator | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2019-05-14 |
| 1932694676 | Amy Bailey | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2018-06-26 |
| 1205348323 | Brandice Hunt | Case Manager/Care Coordinator | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2017-10-30 |
| 1700332772 | Robert D Lapp | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2016-08-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386242196 | Yokita Maria Thomas | Homemaker | 4818 Ashland Ave, Lordin, OH 44053 | 2020-10-14 |
| 1497353445 | Matthew George Simkovich | Homemaker | 4366 Jenee Dr, Lorain, OH 44053 | 2020-10-13 |
| 1881229979 | Christine Wilson | Physical Therapist | 5940 Oak Point Rd., Lorain, Lorain, OH 44053 | 2020-03-09 |
| 1912538760 | Barry Delaney Masin | Student in an Organized Health Care Education/Training Program | 2704 West Erie Avenue, Lorain, OH 44053 | 2020-01-30 |
| 1275171399 | Martina Beato | Social Worker | The Nord Center 6140 S. Broadway, Lorain, OH 44053 | 2019-12-19 |
| 1285279802 | Tivan LLC | Non-emergency Medical Transport (VAN) | 5821 Williamsburg Dr., Lorain, OH 44053 | 2019-11-07 |
| 1023650843 | Candace Taber | Case Manager/Care Coordinator | 6140 South Broadway, Lorain, OH 44053 | 2019-10-14 |
| 1265956098 | Phillip H Emerson | Social Worker | 1740 Cooper Foster Park Road East, Lorain, OH 44053 | 2017-08-02 |
| 1447796750 | Kafilat Idowu Kelani | Nurse Practitioner | 3700 Kolbe Rd, Lorain, Lorain, OH 44053 | 2017-01-10 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| Find all providers in zip 44053 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811411051 | Shatela R. Evans | Counselor | 3002 Brookview Dr, Lorain, OH 44053-1427 | 2017-07-31 |
| 1497285654 | Alan Golowenski | Counselor | 305 W. 20th St, Lorain, OH 44052 | 2017-06-19 |
| 1831625391 | John Corry | Counselor | 4520 Oberlin Ave Ste 2, Lorain, OH 44053-3173 | 2017-05-03 |
| 1083075808 | Mark B Applegate | Counselor | 2115 West Park Drive, Lorain, OH 44053 | 2016-03-08 |
| 1821470881 | Eva Lozano | Counselor | 2318 E 29th St, Lorain, OH 44055-2008 | 2015-06-25 |
| 1174124184 | Katherine Stipp | Counselor | 6150 Park Square Dr Ste B, Lorain, OH 44053-4153 | 2020-11-05 |
| 1215548185 | Alyssa L Tennant | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-08-13 |
| 1467077305 | Jonetha Ali | Counselor | 6140 S Broadway, Lorain, OH 44053-3891 | 2020-06-16 |
| 1881217545 | Daniel Laurence Gainer | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-05-28 |
| 1962032433 | Nathan A Boggs | Counselor | 2115 W Park Dr, Lorain, OH 44053-1138 | 2020-01-23 |
| Find all providers in LORAIN | ||||
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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.