ELISE M PROBASCO


Address: 111 S Broad St, Lancaster, OH 43130-4398
Phone: 4402608300

ELISE M PROBASCO (NPI# 1760033401) 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) 1760033401
Entity Type Individual
Full Name ELISE M PROBASCO
Credential QMHS BA CMS BA
Practice Address 111 S Broad St
Lancaster
OH 43130-4398
Mailing Address 434 Eastland Rd
Berea
OH 44017-1217
Practice Telephone 4402608300
Mailing Telephone 4402342006
Enumeration Date 2019-09-24
Last Update Date 2019-09-24
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 251B00000X Case Management Agencies
Y 251S00000X Community/Behavioral Health OH Agencies

Office Location

Street Address 111 S BROAD ST
City LANCASTER
State OH
Zip Code 43130-4398

Providers in the same location

NPI Name Taxonomy Address Enumeration
1154777605 Shannon Morris Social Worker 111 S Broad St, Lancaster, OH 43130-4398 2016-05-13
1922606722 Kira N Sowers Peer Specialist 111 S Broad St, Lancaster, OH 43130-4398 2020-10-14
1437797883 Lindsay Friedman Social Worker 111 S Broad St, Lancaster, OH 43130-4398 2019-12-17
1649816950 Jill C Niswonger Marriage & Family Therapist 111 S Broad St, Lancaster, OH 43130-4398 2019-11-21
1467098863 Rebecca Flowers Schamess Marriage & Family Therapist 111 S Broad St, Lancaster, OH 43130-4398 2019-11-20
1033760756 Robert Lee Gould Social Worker 111 S Broad St, Lancaster, OH 43130-4398 2019-09-24
1790335024 Traci Lynn Moore Community Health Worker 111 S Broad St, Lancaster, OH 43130-4398 2019-09-18
1427604420 Aimee Nelson Counselor 111 S Broad St, Lancaster, OH 43130-4398 2019-08-15
1528614823 Cytha Nicole Pierce Case Management 111 S Broad St, Lancaster, OH 43130-4398 2019-08-13
1174088926 Jennifer M Saelens Counselor 111 S Broad St, Lancaster, OH 43130-4398 2019-02-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477174027 Omnis Medical Group Family Medicine 401 North Ewing Street, Lancaster, OH 43130 2020-05-05
1609408293 Matthew Scott Schaitel Massage Therapist 323 South Broad Street, Lancaster, OH 43130 2020-02-11
1881226058 Hollie Michelle Aneshansley Massage Therapist 323 South Broad St, Lancaster, OH 43130 2020-02-06
1184180127 Natural Remedies Massage Clinic/Center 323 S. Broad St., Lancaster, OH 43130 2019-02-14
1861958126 Jaclyn R Lamphier Massage Therapist 323 S. Broad St, Lancaster, OH 43130 2019-02-12
1457849549 Regina A Rienschield Counselor Fairfield County Counseling Center, 117 W Main St, Suite 107, Lancaster, OH 43130 2018-04-25
1255830212 Rem Ohio Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1431 Pleasant Springs Blvd, Lancaster, OH 43130 2018-02-06
1275032328 Rem Ohio Inc Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities 1410 Pleasant Springs Blvd, Lancaster, OH 43130 2018-02-05
1295241966 Mark Jason Kraft Hearing Instrument Specialist 618 East Main St., Lancaster, OH 43130 2017-12-18
1447611520 Cindy Reef Counselor 624 E. Main Street, Lancaster, OH 43130 2016-03-16
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1083211387 Crescent Behavioral Health, LLC Community/Behavioral Health 202 W Park Place Dr, Lancaster, TX 75134-3250 2020-10-08
1962029884 Catholic Charities of The Diocese of Harrisburg Pa Inc Community/Behavioral Health 47 S Mulberry St, Lancaster, PA 17603-3949 2020-06-26
1780223420 Heatherstone Counseling Services, LLC Community/Behavioral Health 313 W Liberty St Ste 228, Lancaster, PA 17603-2748 2019-12-28
1598303638 The People Concern Community/Behavioral Health 45244 32nd St W, Lancaster, CA 93536-8442 2019-12-19
1598242117 Carolina Human Services LLC Community/Behavioral Health 6992 Waxhaw Hwy, Lancaster, SC 29720-7731 2018-07-26
1528553369 Step of Faith Community/Behavioral Health 1413 Prescott Dr, Lancaster, TX 75134 2018-06-25
1669966982 Star View Behavioral Health, Inc. Community/Behavioral Health 1216 W Avenue J Ste 300, Lancaster, CA 93534-2944 2018-06-20
1134622749 Lake Hughes Recovery O P, Inc. Community/Behavioral Health 44965 10th St W, Lancaster, CA 93534-2313 2018-03-10
1750814489 First Ladies Wellness Enterprise Community/Behavioral Health 2207 Beechwood St, Lancaster, CA 93535-1782 2017-04-10
1194263475 Links of Love Behavioral Services, LLC Community/Behavioral Health 313 Moore St, Lancaster, SC 29720-2504 2017-02-07
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Competitor

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City LANCASTER
Zip Code 43130

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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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