MR. ERVIN HENDERSON (NPI# 1831676634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831676634 |
| Entity Type | Individual |
| Full Name | MR. ERVIN HENDERSON |
| Credential | MA |
| Practice Address |
6570 Sosna Dr Fairfield OH 45014-2222 |
| Mailing Address |
4254 Loubell Ln Cincinnati OH 45205-2035 |
| Practice Telephone | 5139424673 |
| Mailing Telephone | 5138006843 |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2018-07-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
C.1801282 | OH | Behavioral Health & Social Service Providers |
| Street Address |
6570 SOSNA DR |
| City | FAIRFIELD |
| State | OH |
| Zip Code | 45014-2222 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215001128 | Michael Thomas Ramos | Social Worker | 6570 Sosna Dr, Fairfield, OH 45014-2279 | 2006-11-20 |
| 1891396420 | Jamie Stafford | Behavior Technician | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-11-02 |
| 1336751064 | Holly Pelphrey | Counselor | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-08-24 |
| 1801406939 | Jennifer Hopkins | Counselor | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-08-04 |
| 1952925810 | Sharon Dodds | Counselor | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-06-05 |
| 1215550470 | Jasmina Joan Nystrom | Behavior Technician | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-05-22 |
| 1295357333 | Donald Compton Iv | Behavior Technician | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-05-12 |
| 1730700857 | James Henson | Behavior Technician | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-04-29 |
| 1174159610 | Ricky Dale Wilson | Counselor | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-03-17 |
| 1497380232 | Chasity Mason | Licensed Practical Nurse | 6570 Sosna Dr, Fairfield, OH 45014-2222 | 2020-03-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326526872 | Megan Coleen Hamill | Registered Nurse | 6570 Sosna Drive, Fairfield, OH 45014 | 2018-08-06 |
| 1831695642 | James Grant Walther | Contractor | 16408 Jeanie Drive, Aurora, IN 45014 | 2018-04-02 |
| 1104339837 | Tamara Rochester | Registered Nurse | 5474 Yellowstone Dr, Fairfield, OH 45014 | 2017-11-16 |
| 1104335892 | Barbara Johnson | Registered Nurse | 2853 Saturn Drive, Fairfield, OH 45014 | 2017-09-25 |
| 1205373537 | Samuel E Ghee IIi | Counselor | Decoach Rehabilitation Center, 6570 Sosna Drive, Fairfield, OH 45014 | 2017-01-25 |
| 1669916789 | Lacretia Ancona | In Home Supportive Care | 700 Wessel Dr #181505, Fairfield, OH 45014 | 2016-12-08 |
| 1134676299 | Lynne Mutuku | Licensed Practical Nurse | 3975 Woodridge Blvd, Apt 10, Fairfield, OH 45014 | 2016-09-07 |
| 1104291020 | Mimi Supportive Hands .llc | Home Health | 6 Ridge Dr Apt 203, Cincinnati, OH 45014 | 2015-12-03 |
| 1215319181 | Brittany Beck | Social Worker | 3050 Mack Rd Ste 205, Fairfield, OH 45014 | 2015-06-26 |
| 1093193278 | Ashli Tanner | Specialist/Technologist | 8790 N. Gilmore Rd., Fairfield, OH 45014 | 2015-05-08 |
| Find all providers in zip 45014 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184273781 | Hope Counseling, LLC | Counselor | 87 Ruane St, Fairfield, CT 06824-5864 | 2019-09-05 |
| 1376190504 | Megan Jane Earp | Counselor | 500 N 3rd St Ste 209, Fairfield, IA 52556-2483 | 2019-08-22 |
| 1083272561 | Keturah Walker | Counselor | 5098 Rowe Dr, Fairfield, CA 94533-6590 | 2019-05-30 |
| 1093278525 | Rhonda M Bogenschutz | Counselor | 311 Nilles Rd Ste A, Fairfield, OH 45014-2621 | 2019-04-11 |
| 1023501525 | Isaac Higgins | Counselor | 1234 Empire St # 1500, Fairfield, CA 94533-5711 | 2018-06-08 |
| 1851899348 | Caitlin Asels | Counselor | 1234 Empire St # 2130, Fairfield, CA 94533-5711 | 2018-01-30 |
| 1700314606 | Fairfield County Counseling | Counselor | 60 Katona Dr Ste 22, Fairfield, CT 06824-3544 | 2017-05-23 |
| 1285181552 | Anthony Tucci | Counselor | 2209 Concord Ct, Fairfield, CA 94533-5858 | 2016-09-05 |
| 1003274515 | Susan Myunghee Choi | Counselor | 470 Chadbourne Rd. Suite E, Aldea Children & Family Services, Fairfield, CA 94534-9600 | 2016-01-29 |
| 1588032239 | Whitney Ann Walker | Counselor | 2100 W Texas St, Fairfield, CA 94533-4468 | 2015-09-11 |
| Find all providers in FAIRFIELD | ||||
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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.