TARA RENEE WOLTZ (NPI# 1790296531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790296531 |
| Entity Type | Individual |
| Full Name | TARA RENEE WOLTZ |
| Credential | LPC |
| Practice Address |
3964 Hamilton Square Blvd Groveport OH 43125-9119 |
| Practice Telephone | 6146101506 |
| Mailing Telephone | 6146101506 |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
1400647 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | PRIVATE INS | 1093251225 | 01 |
| Street Address |
3964 HAMILTON SQUARE BLVD |
| City | GROVEPORT |
| State | OH |
| Zip Code | 43125-9119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952390064 | Mina Lourdes T Guzman | Anesthesiology | 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 | 2005-10-20 |
| 1194332676 | Courtney Derrick | Counselor | 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 | 2020-09-28 |
| 1265077812 | Jordan Koegle | Social Worker | 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 | 2019-11-07 |
| 1588149322 | Dionne R Pressie | Social Worker | 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 | 2018-09-27 |
| 1851871420 | Alexander Alexandrovich Kiseloff | Social Worker | 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 | 2018-08-14 |
| 1235625419 | Jerita Tarelle Williams | Social Worker | 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 | 2018-07-10 |
| 1194235952 | Epifanio Ray Martinez | Counselor | 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 | 2017-10-06 |
| 1184134165 | Emily Elizabeth Wilson | Counselor | 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 | 2017-10-04 |
| 1093251225 | The Recovery Village Columbus, LLC | Substance Abuse Rehabilitation Facility | 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 | 2017-01-11 |
| 1245525765 | Isteaq Ahmed | Family Medicine | 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 | 2011-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497360713 | Loretta S Zornes | Home Health Aide | 5070 Bixby Rd, Groveport, OH 43125 | 2020-09-14 |
| 1003364431 | Marshall Dental LLC | Dentist | 446 Professional Parkway, Groveport, OH 43125 | 2016-09-14 |
| 1225449895 | Nicole Pratte Walter | Psychologist | 5490 Clyde Moore Dr., Suite C, Groveport, OH 43125 | 2014-05-16 |
| 1598102337 | Berwin Ralph Miller Jr. | Nurse Practitioner | 6011 Groveport Road, Groveport, OH 43125 | 2013-06-03 |
| 1154618395 | Cindy Lou Blackstone | Licensed Practical Nurse | 5347 Victoria St, Groveport, OH 43125 | 2011-07-08 |
| 1447413398 | The Tamarkin Company | Pharmacy | 3841 S Hamilton Road, Groveport, OH 43125 | 2008-07-09 |
| 1508067034 | Barbara Jo Anderson | Registered Nurse | 4053 Walnut Crossing Drive, Groveport, OH 43125 | 2007-05-31 |
| 1942234661 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 6011 Groveport Rd, Groveport, OH 43125-1006 | 2006-07-10 |
| 1285267666 | Catherine Doyle | Pharmacist | 6011 Groveport Rd, Groveport, OH 43125-1006 | 2020-02-13 |
| 1164914883 | Shannon Colleen Chagat | Nurse Practitioner | 6011 Groveport Rd, Groveport, OH 43125-1006 | 2018-05-30 |
| Find all providers in zip 43125 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699805176 | Lds Social Services | Counselor | 4431 Marketing Pl, Groveport, OH 43125-9556 | 2007-03-06 |
| 1194332676 | Courtney Derrick | Counselor | 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 | 2020-09-28 |
| 1659836237 | Jennifer Philpott | Counselor | 4431 Marketing Pl, Groveport, OH 43125-9556 | 2019-02-07 |
| 1184134165 | Emily Elizabeth Wilson | Counselor | 3964 Hamilton Square Blvd, Groveport, OH 43125-9119 | 2017-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548861487 | The Clarity Couch | Counselor | 12600 Rockside Rd Ste 172, Garfield Hts, OH 44125-4525 | 2020-11-06 |
| 1225639610 | Denea Lois Ridley | Counselor | 1625 California Ave, Cincinnati, OH 45237-5603 | 2020-11-03 |
| 1447850508 | Butler County Community Health Consortium, Inc. | Counselor | 3260 Oxford Millville Rd Ste B, Oxford, OH 45056-9430 | 2020-10-28 |
| 1649879248 | Calypso Counseling, LLC | Counselor | 77 W Elmwood Dr Ste 303, Dayton, OH 45459-4270 | 2020-10-23 |
| 1689273534 | Stephanie Homan | Counselor | 317 E Royal Forest Blvd, Columbus, OH 43214-2129 | 2020-10-21 |
| 1063011187 | Solara Counseling, LLC | Counselor | 6338 Snider Rd Unit 674, Mason, OH 45040-5127 | 2020-10-20 |
| 1982203246 | Kimberly Fuller, Lisw, LLC | Counselor | 2291 W 38th St, Cleveland, OH 44113-3867 | 2020-10-19 |
| 1255930467 | Jessica Becka LLC | Counselor | 5206 Tillman Ave, Cleveland, OH 44102-2248 | 2020-10-19 |
| 1487251187 | Kara Archer | Counselor | 224 Columbus Rd # 724, Athens, OH 45701-1334 | 2020-10-06 |
| 1629675541 | Shayna Mell | Counselor | 4542 Wilburn Dr, Cleveland, OH 44121-3863 | 2020-10-04 |
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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.