JACK TODD WOODRING (NPI# 1750931119) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750931119 |
| Entity Type | Individual |
| Full Name | JACK TODD WOODRING |
| Practice Address |
5611 Gallia St Portsmouth OH 45662-5520 |
| Practice Telephone | 7405290083 |
| Mailing Telephone | 7405290083 |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 171184 | OH | Agencies |
| Street Address |
5611 GALLIA ST |
| City | PORTSMOUTH |
| State | OH |
| Zip Code | 45662-5520 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851878540 | Laura K Lennex | Counselor | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2018-07-25 |
| 1669090528 | Alison Marie Morton I | Counselor | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2020-07-08 |
| 1588207559 | Alicia Ann Raines | Counselor | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2019-10-23 |
| 1063074771 | Scioto Family and Behavioral Medicine, LLC | Community/Behavioral Health | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2019-07-02 |
| 1619440377 | Scioto Family and Behavioral Medicine, LLC | Clinic/Center | 5611 Gallia St, Portsmouth, OH 45662-5520 | 2019-01-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528613346 | Stacia N Boyer | Nurse Practitioner | 1611 27th Street, Fulton Bldg Suite 101, Portsmouth, OH 45662 | 2019-08-08 |
| 1487210167 | Rose Speier | Registered Nurse | 920 Gallia Street, Portsmouth, OH 45662 | 2019-05-17 |
| 1083123491 | Megan Rhea | Case Manager/Care Coordinator | 901 Wahington St, Portsmouth, OH 45662 | 2017-09-28 |
| 1376061903 | Alanna Lee Reisinger | Physical Therapist | 522 Glenwood Ave., New Boston, OH 45662 | 2017-09-04 |
| 1871010967 | Nicole Lynne Johnson | Counselor | 800 Gallia Street Suite 600, Portsmouth, OH 45662 | 2017-08-29 |
| 1629595822 | William Zachary Nance | Counselor | 800 Gallia Street, Suite 600, Portsmouth, OH 45662 | 2017-08-28 |
| 1962929703 | Melissa Rodbell | Speech-Language Pathologist | 514 Union St., Portsmouth, OH 45662 | 2017-08-23 |
| 1346604626 | Todd Davis | Counselor | 2954 Walnut St., Portsmouth, OH 45662 | 2016-04-12 |
| 1083078406 | Gordon Sanders | Counselor | 2954 Walnut Street, Portsmouth, OH 45662 | 2016-04-12 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| Find all providers in zip 45662 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619574837 | Seacoast Pathways | Community/Behavioral Health | 155 Brewery Ln Ste 102, Portsmouth, NH 03801-4995 | 2020-10-01 |
| 1710599873 | Tinas Love and Care Inc | Community/Behavioral Health | 165 Choate St, Portsmouth, VA 23707-4567 | 2020-08-20 |
| 1508488305 | Island Light Psychotherapy, LLC | Community/Behavioral Health | 11 King Charles Dr Ste A, Portsmouth, RI 02871-1364 | 2020-05-14 |
| 1164918496 | Camp Loud and Services | Community/Behavioral Health | 3280 Academy Ave, Portsmouth, VA 23703-3203 | 2018-07-10 |
| 1336654854 | Phoenix Group Home | Community/Behavioral Health | 303 Offnere St, Portsmouth, OH 45662-4655 | 2017-12-06 |
| 1790208296 | Stepless Ladders LLC | Community/Behavioral Health | 1521 Wilcox Ave, Portsmouth, VA 23704-6814 | 2017-07-18 |
| 1033641006 | Shellie Lindbergh Rankin Jr. | Community/Behavioral Health | 1402 Newby Rd, Portsmouth, VA 23701-3130 | 2017-03-29 |
| 1760832505 | Granite Pathways | Community/Behavioral Health | 865 Islington St, Portsmouth, NH 03801-4229 | 2016-06-13 |
| 1003265109 | Synergy Health Systems | Community/Behavioral Health | 1602 Cavalier Blvd, Portsmouth, VA 23701-3808 | 2016-06-09 |
| 1033571005 | Connecting Communities, LLC | Community/Behavioral Health | 309 County St Ste 203, Portsmouth, VA 23704-3701 | 2016-03-28 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 45662 |
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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.