NEW DESTINY TREATMENT CENTER, INC. (NPI# 1821411273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821411273 |
| Entity Type | Organization |
| Organization Name | NEW DESTINY TREATMENT CENTER, INC. |
| Practice Address |
6694 Taylor Rd Clinton OH 44216-9201 |
| Practice Telephone | 3308255202 |
| Practice Fax Number | 3308255113 |
| Mailing Telephone | 3308255202 |
| Mailing Fax Number | 3308255113 |
| Enumeration Date | 2014-01-21 |
| Last Update Date | 2014-03-04 |
| Authorized Official Name | DR. MICHAEL D. JACOBSON (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 3308255202 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
34.005720 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0249609 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376161091 | New Destiny Treatment Center, Inc. | Substance Abuse Rehabilitation Facility | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2020-07-09 |
| Street Address |
6694 TAYLOR RD |
| City | CLINTON |
| State | OH |
| Zip Code | 44216-9201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447861604 | William A Egut | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2020-08-12 |
| 1376161091 | New Destiny Treatment Center, Inc. | Substance Abuse Rehabilitation Facility | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2020-07-09 |
| 1033731807 | Thomas Sherman Howard | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2020-05-14 |
| 1598240061 | Robert Daniel Loper | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2018-10-01 |
| 1598252280 | Quentin Wayne Cowling | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2018-04-18 |
| 1356840276 | Brandon Caleb Hart | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2018-02-06 |
| 1174022081 | Vance E Little | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2018-02-06 |
| 1346749645 | Clarence Anthony Curry | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2018-02-02 |
| 1689173999 | Rebecca E Miller | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2018-02-02 |
| 1417456716 | William White | Counselor | 6694 Taylor Rd, Clinton, OH 44216-9201 | 2018-02-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609390921 | Jennifer Guyton | Occupational Therapy Assistant | 1373 Center Rd, Clinton, OH 44216 | 2017-07-28 |
| 1447785068 | Robert W Bolois | Counselor | 6694 Taylor Rd., Doylestown, OH 44216 | 2017-04-21 |
| 1891211397 | Lewis English | Counselor | 6694 Taylor Rd., Clinton, OH 44216 | 2017-08-16 |
| 1275669574 | Community Care On Wheels | Non-emergency Medical Transport (VAN) | 60 Kauffmans Crk, Clinton, OH 44216-8658 | 2007-02-23 |
| 1285673160 | Village of Clinton | Ambulance | 7717 Cleveland Massillon Rd, Clinton, OH 44216-8912 | 2006-06-06 |
| 1205237021 | Tresa Nist | Physical Therapy Assistant | 6125 Spangler Dr, New Franklin, OH 44216-8949 | 2014-09-11 |
| 1215350244 | Jeri Ball | Lactation Consultant, Non-RN | 6325 Lieb Dr, New Franklin, OH 44216-9131 | 2014-01-27 |
| 1154825420 | Karen Gene Nitzel | Licensed Practical Nurse | 8177 Cleve Mass Rd Lot 30, Clinton, OH 44216-9146 | 2018-03-21 |
| 1093315038 | Lisa Marie Weyrick | Respite Care | 6211 N Oval Rd, New Franklin, OH 44216-9318 | 2020-10-29 |
| 1356731186 | Tara Clark | Community Health Worker | 3030 Grill Rd, New Franklin, OH 44216-9320 | 2015-02-02 |
| Find all providers in zip 44216 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750907051 | Douglas Moinuddin | Family Medicine | 28360 Center Ridge Rd Apt 229, Westlake, OH 44145-6797 | 2020-06-23 |
| 1730726480 | Serenity Now Counseling and Treatment LLC | Family Medicine | 8308 Ohio River Rd Ste B, Wheelersburg, OH 45694-1713 | 2019-12-02 |
| 1689220352 | Hill Clinic, LLC | Family Medicine | 4425 Hill Ave, Toledo, OH 43615-5410 | 2019-08-17 |
| 1821654674 | Roman Family Healthcare | Family Medicine | 1440 State Route 28 W, Greenfield, OH 45123-8424 | 2019-05-17 |
| 1265997118 | Phoenix Integrated Health | Family Medicine | 5945 Sawmill Rd Unit B, Dublin, OH 43017-1623 | 2019-02-05 |
| 1124535828 | Ats, Columbus, LLC Dba, Addiction Therapy Services | Family Medicine | 4760 Sawmill Rd, Columbus, OH 43235-3260 | 2018-01-03 |
| 1326567512 | Far Reach Foundation | Family Medicine | 620 Bear Run Ln Ste B, Lewis Center, OH 43035-8299 | 2017-09-19 |
| 1639691629 | Cornerstone Clinics | Family Medicine | 802 Clare Ave Ste 101, Portsmouth, OH 45662-2583 | 2017-07-11 |
| 1548782816 | Monarch Health and Recovery LLC | Family Medicine | 22664 State Route 73, West Portsmouth, OH 45663-6365 | 2017-07-08 |
| 1275073553 | Phoenix Recovery Center, LLC | Family Medicine | 5945 Sawmill Rd, Dublin, OH 43017-1623 | 2017-03-06 |
| Find all providers with the same taxonomy | ||||
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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.