MS. LISA RENEE DORLAND (NPI# 1811148463) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811148463 |
| Entity Type | Individual |
| Full Name | MS. LISA RENEE DORLAND |
| Credential | LPCC-S, LSW |
| Practice Address |
130 1st St Nw Massillon OH 44647 |
| Mailing Address |
625 Cleveland Ave Nw Canton OH 44702-1805 |
| Practice Telephone | 3308330234 |
| Practice Fax Number | 3308377705 |
| Mailing Telephone | 3304550374 |
| Mailing Fax Number | 3304536716 |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2018-08-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
E.0002909 | OH | Behavioral Health & Social Service Providers |
| N | 104100000X | Social Worker | S.0018185 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0242555 | 05 |
| Street Address |
130 1ST ST NW |
| City | MASSILLON |
| State | OH |
| Zip Code | 44647 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619178860 | Greg R Emanuelson | Counselor | 130 1st St Nw, Massillon, OH 44647-5452 | 2007-05-29 |
| 1063025500 | Caitlin L Kaglic | Counselor | 130 1st St Nw, Massillon, OH 44647-5452 | 2020-08-25 |
| 1487279105 | Angela K Brogan | Nurse Practitioner | 130 1st St Nw, Massillon, OH 44647-5452 | 2020-06-09 |
| 1477195550 | Char Lynn Kicos | Nurse Practitioner | 130 1st St Nw, Massillon, OH 44647-5452 | 2019-10-10 |
| 1548826530 | Shannon Anne Kahle | Counselor | 130 1st St Nw, Massillon, OH 44647-5452 | 2019-05-15 |
| 1801385570 | Morgan Nicolle Clevidence | Counselor | 130 1st St Nw, Massillon, OH 44647 | 2018-05-08 |
| 1326598343 | Ashley M Ackerman | Counselor | 130 1st St Nw, Massillon, OH 44647-5452 | 2016-10-13 |
| 1083164925 | Mary-catherine Beck | Counselor | 130 1st St Nw, Massillon, OH 44647-5452 | 2016-10-04 |
| 1235548660 | Anita M Ciccarelli | Nurse Practitioner | 130 1st St Nw, Massillon, OH 44647-5452 | 2014-08-11 |
| 1811301427 | Michael R Foran | Counselor | 130 1st St Nw, Massillon, OH 44647-5452 | 2014-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790215382 | Amanda N Bleigh | Occupational Therapy Assistant | 3046 Beaumont Ave. Nw, Massillon, OH 44647 | 2017-06-15 |
| 1073917886 | Benjamin Woodruff | Home Health | 1731 Tremont Ave, Massillon, OH 44647 | 2014-10-22 |
| 1912103433 | L.e.e.d.a. Services, Inc. | Intermediate Care Facility, Mentally Retarded | 1620 Forest Avenue Se, Massillon, OH 44647 | 2007-06-22 |
| 1427601129 | Kristina D Mcclung | Licensed Practical Nurse | 5233 Revere Ave Nw, Massillon, OH 44647-1231 | 2019-07-22 |
| 1346289782 | Linda Kay Utes-gasber | Licensed Practical Nurse | 4422 Andette Ave Nw, Massillon, OH 44647-1272 | 2006-06-04 |
| 1710315395 | Massillon Cable Tv, Inc | Durable Medical Equipment & Medical Supplies | 814 Cable Ct Nw, Massillon, OH 44647-4284 | 2013-10-17 |
| 1598196107 | Massillon Cable Tv Inc | Emergency Response System Companies | 814 Cable Ct Nw, Massillon, OH 44647-4284 | 2013-12-06 |
| 1053648816 | Tina Marie Sherlock - Talbott | Nurse's Aide | 9 Country Club Cir Nw, Massillon, OH 44647-5114 | 2009-11-15 |
| 1508498049 | Allied Community Care LLC | Nurse Practitioner | 2615 Lincoln Way Nw, Massillon, OH 44647-5117 | 2020-02-12 |
| 1083912463 | Gary Yang | Chiropractor | 2617 Lincoln Way Nw, Massillon, OH 44647-5117 | 2011-03-08 |
| Find all providers in zip 44647 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013221456 | April Marilyn Pryor | Counselor | 412 Lincoln Way E, Massillon, OH 44646-8404 | 2010-07-27 |
| 1619178860 | Greg R Emanuelson | Counselor | 130 1st St Nw, Massillon, OH 44647-5452 | 2007-05-29 |
| 1831178375 | Julie A Andrews Lee | Counselor | 7317 Portage St Nw, Massillon, OH 44646-7827 | 2006-01-12 |
| 1194294082 | Meredith Sommers | Counselor | 7317 Portage St Nw, Massillon, OH 44646-7827 | 2018-11-20 |
| 1982103347 | Kathleen Christin Malone | Counselor | 7317 Portage St Nw, Massillon, OH 44646-7827 | 2018-02-12 |
| 1164921201 | Kevin Andrew Carver | Counselor | 7317 Portage St Nw, Massillon, OH 44646-7827 | 2018-02-05 |
| 1164938262 | April Tomic | Counselor | 7317 Portage St Nw, Massillon, OH 44646-7827 | 2017-12-27 |
| 1659817831 | Drew Markley | Counselor | 1660 Nave Rd Se, Massillon, OH 44646-9604 | 2017-01-12 |
| 1326582974 | Jessica Cole-robinette | Counselor | 7317 Portage St Nw, Massillon, OH 44646 | 2016-12-15 |
| 1518418904 | Th-wellness LLC | Counselor | 721 Lincoln Way E, Suite B, Massillon, OH 44646-6829 | 2016-10-20 |
| Find all providers in MASSILLON | ||||
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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.