SHAWNEE MENTAL HEALTH CENTER, INC. (NPI# 1932398062) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932398062 |
| Entity Type | Organization |
| Organization Name | SHAWNEE MENTAL HEALTH CENTER, INC. |
| Practice Address |
715 Lane St Coal Grove OH 45638-3161 |
| Practice Telephone | 7405336280 |
| Practice Fax Number | 7403531662 |
| Mailing Telephone | 7405336280 |
| Mailing Fax Number | 7403531662 |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2007-10-15 |
| Authorized Official Name | MR. FRANK DONALD THACKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7403558600 |
| Authorized Official Credential | LISW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750851622 | Shawnee Mental Health Center, Inc. | Clinic/Center | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2018-12-04 |
| 1225508195 | Shawnee Mental Health Center, Inc. | Clinic/Center | 225 Carlton Davidson Ln, Coal Grove, OH 45638-2924 | 2018-12-04 |
| 1063982924 | Shawnee Mental Health Center, Inc. | Clinic/Center | 901 Washington St, Portsmouth, OH 45662-3944 | 2018-12-04 |
| 1730682733 | Shawnee Mental Health Center, Inc. | Clinic/Center | 901 Washington St, Portsmouth, OH 45662-3944 | 2018-03-15 |
| 1164794160 | Shawnee Mental Health Center, Inc. | Clinic/Center | 715 Lane St, Coal Grove, OH 45638-3161 | 2012-02-07 |
| 1093904120 | Shawnee Mental Health Center, Inc. | Clinic/Center | 192 Chestnut Ridge Rd, West Union, OH 45693-9584 | 2007-10-15 |
| Street Address |
715 LANE ST |
| City | COAL GROVE |
| State | OH |
| Zip Code | 45638-3161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164794160 | Shawnee Mental Health Center, Inc. | Clinic/Center | 715 Lane St, Coal Grove, OH 45638-3161 | 2012-02-07 |
| 1265603500 | Lisa Jackson | Counselor | 715 Lane St, Coal Grove, OH 45638-3161 | 2008-03-14 |
| 1417125436 | Georgann C Holbrook | Counselor | 715 Lane St, Coal Grove, OH 45638-3161 | 2008-02-12 |
| 1497923429 | Deborah Willis | Counselor | 715 Lane St, Coal Grove, OH 45638 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629615364 | Ironton & Lawrence County Area Community Action Organization | Clinic/Center | 2325 C, County Rd 26, Ironton, OH 45638 | 2019-12-02 |
| 1457902793 | Janet Hanshaw | Technician | 1923 2nd Street, Ironton, OH 45638 | 2019-09-27 |
| 1881123149 | Paul Ryan Krum | Specialist/Technologist | 1497 County Road 44 South, Ironton, OH 45638 | 2017-06-08 |
| 1114474665 | Kirt R Shipley | Pharmacist | 1848 St Rt 141, Ironton, OH 45638 | 2016-09-01 |
| 1114398633 | Ryan Munion | Licensed Practical Nurse | 1020 N 5th St, Ironton, OH 45638 | 2015-10-09 |
| 1821417411 | Bobbie Lynne Oliver | Registered Nurse | 523 Gallia Pike, Ironton, OH 45638 | 2014-04-10 |
| 1518202977 | Carol Jean Ashworth | Licensed Practical Nurse | 2932 S. 5th Street, Sanctuary of The Ohio Valley, Ironton, OH 45638 | 2012-12-11 |
| 1326337494 | April Dawn Pemberton | Registered Nurse | 97 Township Rd 1376, Ironton, OH 45638 | 2011-03-29 |
| 1437451614 | New Beginnings Behavioral Health | Social Worker | 611 Railroad St, Ironton, OH 45638 | 2010-11-22 |
| 1245532654 | Patrio D Tismo Pa Inc | Family Medicine | 107 North 3rd Street, Ironton, OH 45638 | 2010-11-18 |
| Find all providers in zip 45638 | ||||
| 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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| 1245838630 | Midwest Counseling Centers of Ohio | Clinic/Center | 8940 Kingsridge Dr Ste 106, Dayton, OH 45458-1632 | 2020-10-16 |
| 1467066597 | Psychworks LLC | Clinic/Center | 2630 Keysport Ln, Cincinnati, OH 45231-1146 | 2020-09-05 |
| 1881208189 | Child Anxiety Center | Clinic/Center | 4555 Lake Forest Dr Ste 650, Blue Ash, OH 45242-3789 | 2020-09-03 |
| 1104439397 | Pathway To Serenity | Clinic/Center | 115 W Front St Unit 8, Perrysburg, OH 43551-1473 | 2020-08-26 |
| 1154932473 | Phoenix Counseling and Wellness, LLC | Clinic/Center | 35104 Euclid Ave Ste 306, Willoughby, OH 44094-4566 | 2020-08-11 |
| 1205446754 | Right Direction Behavioral Services | Clinic/Center | 17325 Euclid Ave Ste 2013, Cleveland, OH 44112-1250 | 2020-08-07 |
| 1003424573 | Purposed Journey Counseling LLC | Clinic/Center | 11578 Norbourne Dr, Cincinnati, OH 45240-2152 | 2020-07-21 |
| 1407474737 | Life Cycles Development Center LLC | Clinic/Center | 1507 Copley Rd, Akron, OH 44320-2501 | 2020-07-13 |
| Find all providers with the same taxonomy | ||||
| City | COAL GROVE |
| Zip Code | 45638 |
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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.