MRS. EVELYN BYRD PECKSKAMP (NPI# 1922143692) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1922143692 |
Entity Type | Individual |
Full Name | MRS. EVELYN BYRD PECKSKAMP |
Credential | MA, LPCC |
Practice Address |
5134 Cedar Village Dr Mason OH 45040-3717 |
Mailing Address |
3642 Marburg Ave Cincinnati OH 45208-1611 |
Practice Telephone | 5132297900 |
Mailing Telephone | 5134704547 |
Enumeration Date | 2007-02-21 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YP2500X |
Counselor Specialization: Professional |
E0007947 | OH | Behavioral Health & Social Service Providers |
Street Address |
5134 CEDAR VILLAGE DR |
City | MASON |
State | OH |
Zip Code | 45040-3717 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699758250 | Laura Vail Sage Inc | Counselor | 5134 Cedar Village Dr, Mason, OH 45040-3717 | 2005-11-28 |
1417499799 | Grandi Inc. | Counselor | 5134 Cedar Village Dr, Mason, OH 45040-3717 | 2016-11-17 |
1922494152 | Kristen Riekert | Social Worker | 5134 Cedar Village Dr, Mason, OH 45040-3717 | 2015-04-14 |
1033511456 | Lisa Portune | Social Worker | 5134 Cedar Village Dr, Mason, OH 45040-3717 | 2014-09-17 |
1558763003 | Nicole L Walton | Social Worker | 5134 Cedar Village Dr, Mason, OH 45040-3717 | 2014-09-16 |
1457694291 | Leanne Janette Myers | Social Worker | 5134 Cedar Village Dr, Mason, OH 45040-3717 | 2013-03-29 |
1710298930 | Terri Lynn Freshley | Social Worker | 5134 Cedar Village Dr, 3c, Mason, OH 45040-3717 | 2010-06-23 |
1508191156 | Gretchen Ann Cassil | Counselor | 5134 Cedar Village Dr, Mason, OH 45040-3717 | 2009-10-14 |
1639402787 | Megan Gray Murray | Psychologist | 5134 Cedar Village Dr, Mason, OH 45040-3717 | 2009-09-08 |
1821272550 | John H Wallace | Counselor | 5134 Cedar Village Dr, Mason, OH 45040-3717 | 2007-12-17 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336633882 | Jarek Beegan | Specialist/Technologist, Other | 8188 Corporate Way, Mason, OH 45040 | 2018-06-19 |
1548771439 | Jeanene Gibson | Registered Nurse | 9945 Coventry Court, Mason, OH 45040 | 2017-10-18 |
1093249898 | Peace of Mind Care Services, Inc. | Community/Behavioral Health | 5180 Cedar Village Drive, Suite A, Mason, OH 45040 | 2017-04-18 |
1477938736 | Justin William Florek | Chiropractor | 6213 Snider Road, Mason, OH 45040 | 2015-07-28 |
1730562729 | Alexandra Courts | Physical Therapist | 5267 Joseph Ln, Mason, OH 45040 | 2015-07-08 |
1982083531 | Nicole Roether | Specialist/Technologist | 5236 Socialville-foster Road, Mason, OH 45040 | 2015-05-28 |
1568849123 | Alissa Marie Conde | Pediatrics | 9560 Children's Drive, Mason, OH 45040 | 2015-05-04 |
1205220696 | Elizabeth Barnes | Pain Medicine | 3611 Socialville-foster Rd, Suite 101, Mason, OH 45040 | 2015-03-24 |
1669864807 | Lang Truong | Pharmacist | 5542 Red Fox Ct, Mason, OH 45040 | 2015-02-25 |
1295133668 | Gregory Carr | Psychologist | 4569 Wesley Ct, Mason, OH 45040 | 2014-12-16 |
Find all providers in zip 45040 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700487931 | Cjt Solutions | Counselor | 351 Coventry Ln, Mason, MI 48854-1162 | 2020-11-04 |
1508401787 | Nicole Schwan | Counselor | 7588 Central Parke Blvd Ste 114, Mason, OH 45040-6857 | 2019-11-12 |
1417500497 | Front Porch Counseling LLC | Counselor | 991 Reading Rd Ste 8, Mason, OH 45040-0057 | 2019-07-19 |
1710461066 | Sharon Hicks | Counselor | 8118 Corporate Way Ste 175, Mason, OH 45040-7504 | 2018-09-22 |
1790286219 | Meghan Griffin | Counselor | 4044 Frye Park Cir, Mason, OH 45040-2883 | 2018-02-21 |
1548798895 | Renewed Counseling Pllc | Counselor | 216 E Ash St Ste B, Mason, MI 48854-1792 | 2017-05-31 |
1154863660 | Terri Lynne Mcgarry | Counselor | 839 S Cedar St Ste 200, Mason, MI 48854-2063 | 2016-11-15 |
1992256374 | Jeffrey S. Johnson | Counselor | 108 Okemos St, Mason, MI 48854-1263 | 2016-10-20 |
1255889515 | Catherine Engle | Counselor | 6927 Grand Oaks Ct, Mason, OH 45040-2713 | 2016-09-15 |
1467861880 | Valerie Daft | Counselor | 227 N Cedar St, Mason, MI 48854-2552 | 2014-08-11 |
Find all providers in MASON |
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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.