CLARION CO MH MR DRUG & ALCOHOL (NPI# 1861422834) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861422834 |
| Entity Type | Organization |
| Organization Name | CLARION CO MH MR DRUG & ALCOHOL |
| Practice Address |
214 S 7th Ave Clarion PA 16214-2053 |
| Practice Telephone | 8142266252 |
| Practice Fax Number | 8142268564 |
| Mailing Telephone | 8142266252 |
| Mailing Fax Number | 8142268564 |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. EVAN R DITTMAN (MH MR DRUG & ALCOHOL ADMINISTRATOR) |
| Authorized Official Telephone | 8142266252 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| X | 251B00000X | Case Management | Agencies | ||
| X | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| X | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| X | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| X | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 1000073900017 | 05 | |
| PA | 1000073900008 | 05 | |
| PA | HIGHMARK BC/BS | 660501 | 01 |
| PA | 1000073900019 | 05 | |
| PA | 1000073900005 | 05 | |
| PA | 1000073900014 | 05 | |
| PA | 100007390025 | 05 | |
| PA | 1000073900009 | 05 | |
| PA | 1000073900016 | 05 | |
| PA | 1000073900020 | 05 | |
| PA | AETNA INSURANCE | 4634563 | 01 |
| PA | 1000073900006 | 05 |
| Street Address |
214 S 7TH AVE |
| City | CLARION |
| State | PA |
| Zip Code | 16214-2053 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750889176 | Center for Community Resources, Inc. | Community/Behavioral Health | 214 S 7th Ave, Clarion, PA 16214-2053 | 2018-01-31 |
| 1477942332 | Community Guidance Center | Community/Behavioral Health | 214 S 7th Ave, Clarion, PA 16214-2053 | 2015-01-15 |
| 1386089191 | Service Access & Management Inc | Counselor | 214 S 7th Ave, Clarion, PA 16214-2053 | 2013-05-07 |
| 1598014144 | Deborah Hoff | Counselor | 214 S 7th Ave, Clarion, PA 16214-2053 | 2012-08-29 |
| 1841554482 | John Shaun Burke | Counselor | 214 S 7th Ave, Clarion, PA 16214-2053 | 2012-06-28 |
| 1679847883 | Lynne Sanders | Counselor | 214 S 7th Ave, Clarion, PA 16214-2053 | 2012-03-06 |
| 1750655965 | Theresa Crawford | Counselor | 214 S 7th Ave, Clarion, PA 16214-2053 | 2012-03-06 |
| 1508148172 | Samantha Jo Mechling | Counselor | 214 S 7th Ave, Clarion, PA 16214-2053 | 2011-09-09 |
| 1013184829 | Sara Elizabeth Conner | Counselor | 214 S 7th Ave, Clarion, PA 16214-2053 | 2008-05-12 |
| 1013183250 | Carrie Lynn Acklin | Counselor | 214 S 7th Ave, Clarion, PA 16214-2053 | 2008-05-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555616 | Dubois Regional Medical Center | Pharmacy | 265 Holiday Inn Drive Route 68, Clarion, PA 16214 | 2020-10-12 |
| 1699239657 | Clarion Rehabilitation and Aquatic Therapy LLC | Clinic/Center | 499 Mayfield Rd, Office 134, Clarion, PA 16214 | 2019-01-24 |
| 1912409491 | Jason Noto | Psychologist | 800 Boundary St., Clarion, PA 16214 | 2018-03-01 |
| 1265874226 | Devin Michael Ellery Skinner | Specialist/Technologist | 112 Tippin Gym, Clarion University, Clarion, PA 16214 | 2013-07-19 |
| 1952650152 | Adam Clarke | Psychologist | 1200 Eastwood Dr Ste 2, Clarion, PA 16214 | 2012-09-04 |
| 1730386590 | Betty E Mckisson | Registered Nurse | 162 S 7th Ave, Applewood Center, Clarion, PA 16214 | 2007-06-27 |
| 1902011471 | Melissa Kae Riley | Chiropractor | 44 N 1st Avenue., Suite B, Clarion, PA 16214 | 2007-05-10 |
| 1669506002 | Christina E Vanepps | Student in an Organized Health Care Education/Training Program | 214 South 7thave, Clarion, PA 16214 | 2007-03-16 |
| 1649304098 | Erin D Monrean | Student in an Organized Health Care Education/Training Program | 214 South 7th Ave, Clarion, PA 16214 | 2007-03-16 |
| 1730218397 | Jean J Troese | Student in an Organized Health Care Education/Training Program | 215 South 7th Ave, Clarion, PA 16214 | 2007-03-02 |
| Find all providers in zip 16214 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316121510 | Sandy K Lieberum | Case Manager/Care Coordinator | 15870 Route 322, Ste. 2, Clarion, PA 16214-6376 | 2007-12-24 |
| 1457532152 | Phyllis Jeanne Caldwell | Case Manager/Care Coordinator | 15870 Route 322, Ste. 2, Clarion, PA 16214-6376 | 2007-11-21 |
| 1447431143 | Susan Lynn Bobosky | Case Manager/Care Coordinator | 15870 Route 322, Ste. 2, Clarion, PA 16214-6376 | 2007-11-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245926 | Alejandro Cora IIi | Case Manager/Care Coordinator | 2310 Redwood Rd, York, PA 17408-3943 | 2020-11-02 |
| 1386250546 | Lindsay Margarida Stiem | Case Manager/Care Coordinator | 3600 Market St Fl 6, Philadelphia, PA 19104-2669 | 2020-09-22 |
| 1962018879 | Magaret Ann Booker | Case Manager/Care Coordinator | 229 Gans Hill School Rd, Smithfield, PA 15478-1327 | 2020-09-17 |
| 1285242297 | Theresa Walter | Case Manager/Care Coordinator | 1061 Livorno Dr, Oakdale, PA 15071-1795 | 2020-07-15 |
| 1023633872 | Raenita Janay Robinson | Case Manager/Care Coordinator | 3600 Market St # 6thf, Philadelphia, PA 19104-3284 | 2020-06-08 |
| 1558990069 | Human Coalition | Case Manager/Care Coordinator | 101 Drake Rd Ste A, Pittsburgh, PA 15241-1556 | 2020-04-06 |
| 1124656467 | Desiree Driver | Case Manager/Care Coordinator | 2417 Welsh Rd Ste 209, Philadelphia, PA 19114-2211 | 2020-03-31 |
| 1225662117 | Wecarefirst Support Coordination LLC | Case Manager/Care Coordinator | 108 Henderson Ave, Norwood, PA 19074-1811 | 2020-02-28 |
| 1902439185 | Jenna M Dannunzio | Case Manager/Care Coordinator | 600 N. Olive Street, Media, PA 19063-2418 | 2020-02-17 |
| 1154961571 | Corina Jones | Case Manager/Care Coordinator | 2001 Alsace Rd, Reading, PA 19604-1442 | 2020-01-14 |
| 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.