STEPHANIE L KIDD (NPI# 1801976634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801976634 |
| Entity Type | Individual |
| Full Name | STEPHANIE L KIDD |
| Other Name | STEPHANIE L BIRNBAUM |
| Credential | MA, MED, LPCC/PCC |
| Practice Address |
6929 W 130th St Suite 503 Cleveland OH 44130-7895 |
| Practice Telephone | 4404813055 |
| Practice Fax Number | 4404813222 |
| Mailing Telephone | 4404813055 |
| Mailing Fax Number | 4404813222 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2014-10-23 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | E0007819 | OH | Behavioral Health & Social Service Providers |
| N | 101YP2500X |
Counselor Specialization: Professional |
E0007819 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2967384 | 05 | |
| OH | PROVIDER MHN (HEALTHNET) ID# | 393335 | 01 |
| OH | UHC/UBH PROVIDER ID | 2908413 | 01 |
| OH | PROVIDER VO ID# | 587502 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689194813 | Stephanie S Kidd | Student in an Organized Health Care Education/Training Program | 1100 Reid Parkway, Reid Hospital Family Medicine Residency, Richmond, IN 47374-1157 | 2017-06-20 |
| 1962845602 | Stephanie Cipta Kidd | Otolaryngology | 11234 Anderson St, Loma Linda, CA 92354-2804 | 2013-04-11 |
| Street Address |
6929 W 130TH ST SUITE 503 |
| City | CLEVELAND |
| State | OH |
| Zip Code | 44130-7895 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912545427 | Northeast Care Center, Inc. | Intermediate Care Facility, Mentally Retarded | 19080 Bagley Road, Middleburg Hts., OH 44130 | 2019-12-16 |
| 1982189148 | Carl Steinhoff | Registered Nurse | 13766 Cherokee Trail, Middleburg Heights, OH 44130 | 2018-10-03 |
| 1649756321 | Beatrice Shepherd | Counselor | 5253 Hauserman Rd Apt 212, Parma, OH 44130 | 2018-07-16 |
| 1841705068 | New Heights Aba, LLC | Behavioral Analyst | 6908 Engle Rd Ste D, Middleburg Heights, OH 44130 | 2017-12-11 |
| 1275059842 | Tynisha Nicole Nation | Registered Nurse | 6431 Olde York, Parma Hts, OH 44130 | 2017-08-16 |
| 1609328558 | Lisa Wolanin | Physical Therapist | 186970bagley Road, Middleburg Hts, OH 44130 | 2016-10-26 |
| 1184074205 | Tanya Makowski | Nurse Practitioner | 7215 Old Oak Blvd Ste A420, Cleveland, OH 44130 | 2016-06-20 |
| 1093165706 | Dana Hyde | Dentist | 7528 Pearl Rd, Middleburg Heights, OH 44130 | 2016-06-14 |
| 1689046625 | Kimberly Ann Piro | Nurse Practitioner | 12240 Zona Ln, Parma, OH 44130 | 2015-10-29 |
| 1225400088 | Larrise Williford | Registered Nurse | 11491 Sharon Dr Apt C705, Parma, OH 44130 | 2015-10-20 |
| Find all providers in zip 44130 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972117299 | Ann Marie Louise Melinz | Counselor | 2525 West 22nd Street, Cleveland, OH 44115 | 2020-09-03 |
| 1417514654 | Green Acres Counseling and Group Services LLC | Counselor | 17325 Euclid Ave Ste 4031, Cleveland, OH 44112-1270 | 2019-05-23 |
| 1215592373 | Sherree Owens | Counselor | 391 Broad St Nw # 201, Cleveland, TN 37311-5039 | 2019-05-04 |
| 1255995080 | Carl Kappenhagen | Counselor | 4350 W 28th St, Cleveland, OH 44109-4167 | 2019-04-26 |
| 1962066050 | Ayona Kemp | Counselor | 17105 Holly Hill Dr, Cleveland, OH 44128-2523 | 2019-04-24 |
| 1609345479 | Fm Speech Therapy LLC | Counselor | 2529 Detroit Ave Ste 136, Cleveland, OH 44113-2701 | 2018-11-21 |
| 1043705155 | Lizzette M. Jordan | Counselor | 12104 Oakfield Ave, Cleveland, OH 44105-1929 | 2018-06-30 |
| 1841656394 | William Clarence Washington | Counselor | 17618 Brazil Rd, Cleveland, OH 44119-1903 | 2016-01-13 |
| 1447629126 | Optimal Behavioral, LLC | Counselor | 1311 Catherine Dr, Cleveland, TN 37312 | 2015-09-23 |
| 1609243591 | Refuge Ministries Development | Counselor | 13924 Bartlett Ave, Cleveland, OH 44120-4718 | 2015-08-26 |
| Find all providers in CLEVELAND | ||||
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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.