SOUTHEAST, INC. (NPI# 1932169497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932169497 |
| Entity Type | Organization |
| Organization Name | SOUTHEAST, INC. |
| Practice Address |
16 W Long St Columbus OH 43215-2815 |
| Practice Telephone | 6142250980 |
| Practice Fax Number | 6142250986 |
| Mailing Telephone | 6142250980 |
| Mailing Fax Number | 6142250986 |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2019-12-27 |
| Authorized Official Name | MR. JOHN BELL (CFO) |
| Authorized Official Telephone | 6142250980 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | 6723, 3040 | OH | Agencies |
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
0300 | OH | Ambulatory Health Care Facilities |
| N | 320800000X | Community Based Residential Treatment Facility, Mental Illness | 0300 | OH | Residential Treatment Facilities |
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
0300 | OH | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 2373177 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 720 E Broad St, Columbus, OH 432153988 | 6142250980 | 6142210991 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982152799 | Southeast, Inc. | Clinic/Center | 924 E Main St, Columbus, OH 43205-2338 | 2016-09-21 |
| 1609284470 | Southeast, Inc. | Clinic/Center | 595 Van Buren Dr, Columbus, OH 43223-2230 | 2014-07-24 |
| 1962789222 | Southeast, Inc. | Clinic/Center | 315 E Long St, Columbus, OH 43215-1828 | 2011-11-14 |
| 1326688334 | Southeast, Inc. | Clinic/Center | 824 Bowtown Rd, Delaware, OH 43015-9661 | 2020-01-08 |
| 1407491566 | Southeast, Inc. | Clinic/Center | 720 E Broad St, Columbus, OH 43215-3988 | 2019-11-13 |
| 1790217859 | Southeast, Inc. | Community/Behavioral Health | 1455 S 4th St, Columbus, OH 43207-1011 | 2017-03-29 |
| 1497292775 | Southeast, Inc. | Clinic/Center | 243 S Main St, Cadiz, OH 43907-1131 | 2017-01-25 |
| 1164800165 | Southeast, Inc. | Clinic/Center | 68353 Bannock Rd, Saint Clairsville, OH 43950-9736 | 2015-05-11 |
| 1922406008 | Southeast, Inc. | Clinic/Center | 524 W Broad St, Columbus, OH 43215-2775 | 2014-12-05 |
| 1366703084 | Southeast, Inc. | Community/Behavioral Health | 16 W Long St, Columbus, OH 43215-2815 | 2012-05-30 |
| Street Address |
16 W LONG ST |
| City | COLUMBUS |
| State | OH |
| Zip Code | 43215-2815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528669017 | Patricia Asamoah Asante | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-11-03 |
| 1366058992 | Margaret Victoria Asabea-aboagye | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-09-18 |
| 1720692825 | Sarah Edwards | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-09-04 |
| 1821602939 | Ching Cheung | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-09-04 |
| 1063024974 | Erica C Wilson | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-08-21 |
| 1710595145 | Alanna Lovelace | Peer Specialist | 16 W Long St, Columbus, OH 43215-2815 | 2020-07-22 |
| 1750999199 | Zoe Alexandra Gausel | Counselor | 16 W Long St, Columbus, OH 43215-2815 | 2020-07-22 |
| 1265040265 | Karen Elaine Boddie | Case Manager/Care Coordinator | 16 W Long St, Columbus, OH 43215-2815 | 2020-07-16 |
| 1982220844 | April Durham-newton | Licensed Practical Nurse | 16 W Long St, Columbus, OH 43215-2815 | 2020-06-17 |
| 1801411319 | Karen Schmerge | Counselor | 16 W Long St, Columbus, OH 43215-2815 | 2020-06-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912529496 | Ade Elisha | Counselor | 61 West Long St, Columbus, OH 43215 | 2020-05-07 |
| 1073140083 | Ryan Jeffrey Stone | Student in an Organized Health Care Education/Training Program | 393 E. Town Street, #116, Columbus, OH 43215 | 2020-03-27 |
| 1316572316 | Covermymeds Specialty Pharmacy LLC | Pharmacy | 2 Miranova Pl 10th Fl, Suite 101, Columbus, OH 43215 | 2020-03-10 |
| 1902443807 | Nicole Marie Thompson | Social Worker | Southeast, Inc., 16 W Long St, Columbus, OH 43215 | 2019-12-10 |
| 1043852858 | Rachel Therese James | Licensed Practical Nurse | 1380 Dublin Rd Suite 100, Columbus, OH 43215 | 2019-10-14 |
| 1447804737 | Remington-davis, Inc. | Specialist | 1335 Dublin Road, Suite 106a, Columbus, OH 43215 | 2019-07-25 |
| 1346892619 | Nicole Nuxol Talley | Nurse Practitioner | 1335 Dublin Rd Ste 124-d, Columbus, OH 43215 | 2019-07-16 |
| 1730650664 | Sierra N White | Marriage & Family Therapist | 399 E. Main Street, Columbus, OH 43215 | 2018-12-17 |
| 1043798937 | David Benjamin Blankenbeckley | Nurse Practitioner | 3 Nationwide Plz Ste 150, Columbus, OH 43215 | 2018-08-01 |
| 1891272795 | Tiffany Mindigo | Nurse Practitioner | 1335 Dublin Rd Ste 114e, Columbus, OH 43215 | 2018-07-24 |
| Find all providers in zip 43215 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
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| Find all providers in COLUMBUS | ||||
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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.