BROCK OWEN BODENBENDER


Address: 12557 Ravenwood Dr, Chardon, OH 44024-9009
Phone: 4402853568

BROCK OWEN BODENBENDER (NPI# 1750815452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750815452
Entity Type Individual
Full Name BROCK OWEN BODENBENDER
Practice Address 12557 Ravenwood Dr
Chardon
OH 44024-9009
Mailing Address 13486 County Road V
Napoleon
OH 43545-9767
Practice Telephone 4402853568
Mailing Telephone 4199060675
Enumeration Date 2017-04-19
Last Update Date 2017-04-19
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor C.1600800-TRNE OH Behavioral Health & Social Service Providers

Office Location

Street Address 12557 RAVENWOOD DR
City CHARDON
State OH
Zip Code 44024-9009

Providers in the same location

NPI Name Taxonomy Address Enumeration
1831176676 Linda Folan Social Worker 12557 Ravenwood Dr, Chardon, OH 44024-9009 2005-12-22
1720687213 Lauren Marie Sell Case Manager/Care Coordinator 12557 Ravenwood Dr, Chardon, OH 44024-9009 2020-10-26
1780283465 Rachael Wilson Case Manager/Care Coordinator 12557 Ravenwood Dr, Chardon, OH 44024-9009 2020-10-22
1427656347 Rebecca Moore Counselor 12557 Ravenwood Dr, Chardon, OH 44024-9009 2020-10-13
1518565423 Hallie Ortiz Counselor 12557 Ravenwood Dr, Chardon, OH 44024-9009 2020-10-13
1922610815 Christina M Charlillo Case Manager/Care Coordinator 12557 Ravenwood Dr, Chardon, OH 44024-9009 2020-08-20
1689284093 Ian Michael Dewalt Counselor 12557 Ravenwood Dr, Chardon, OH 44024-9009 2020-08-01
1134745672 Briana Salgado Case Manager/Care Coordinator 12557 Ravenwood Dr, Chardon, OH 44024-9009 2020-06-21
1689296642 Samantha Louise Simpkins Counselor 12557 Ravenwood Dr, Chardon, OH 44024-9009 2020-05-13
1760004741 Rebecca Rayner Counselor 12557 Ravenwood Dr, Chardon, OH 44024-9009 2020-05-12
Find all providers in the same location

Providers in the same zip code

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 Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1053712257 Evyn Karlosky Counselor 9600 Old State Rd, Chardon, OH 44024-9260 2014-09-08
1134337488 Marie E Burke Counselor 113 N Hambden St, Chardon, OH 44024-1166 2007-05-18
1730786088 Joseph Miller Counselor 695 South St Ste 6, Chardon, OH 44024-1474 2020-10-08
1962062513 Nickole Bollini Counselor 695 South St Ste 6, Chardon, OH 44024-1474 2019-06-17
1205496130 Stephanie Quinn Podlogar Counselor 695 South St, Ste 6, Chardon, OH 44024-1474 2019-06-13
1356909634 Megan Mitcheltree Counselor 695 South St Ste 6, Chardon, OH 44024-1474 2019-06-03
1932639457 Kayla Marcie Stefancic Counselor 12557 Ravenwood Dr, Chardon, OH 44024-9009 2017-06-18
1952839227 Rachel Schneider Counselor 12557 Ravenwood Dr, Chardon, OH 44024-9009 2017-05-31
1568829075 Rebecca Nicely Counselor 12557 Ravenwood Dr, Chardon, OH 44024 2016-01-28
1013372176 Wendy Merlene Francis Counselor 12557 Ravenwood Dr, Chardon, OH 44024-9009 2015-12-16
Find all providers in CHARDON

Competitor

Search similar providers

City CHARDON
Zip Code 44024

Improve Information

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Dataset Information

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.

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