MRS. KELLY MARIE PACK (NPI# 1972725448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972725448 |
Entity Type | Individual |
Full Name | MRS. KELLY MARIE PACK |
Credential | MSW, LISW-S |
Practice Address |
270 Sterkel Blvd Mansfield OH 44907-1508 |
Mailing Address |
6815 County Road 37 Po Box 9166 Lexington OH 44904-9694 |
Practice Telephone | 4197561133 |
Mailing Telephone | 4193621597 |
Enumeration Date | 2007-05-03 |
Last Update Date | 2010-03-16 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101Y00000X | Counselor | I0007769 | OH | Behavioral Health & Social Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730520651 | Kelly R Pack | Audiologist-Hearing Aid Fitter | 2011 Mall Dr Ste 4, Texarkana, TX 75503-2550 | 2013-07-08 |
Street Address |
270 STERKEL BLVD |
City | MANSFIELD |
State | OH |
Zip Code | 44907-1508 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356372593 | The Center for Individual & Family Services, Inc. | Counselor | 270 Sterkel Blvd, Mansfield, OH 44907-1508 | 2006-07-05 |
1508466418 | Windy L Tennant | Case Manager/Care Coordinator | 270 Sterkel Blvd, Mansfield, OH 44907-1508 | 2020-10-29 |
1275168734 | Hannah R Finley | Nurse Practitioner | 270 Sterkel Blvd, Mansfield, OH 44907-1508 | 2020-03-05 |
1417509654 | Cassandra J Ganzhorn | Social Worker | 270 Sterkel Blvd, Mansfield, OH 44907-1508 | 2019-07-09 |
1053972752 | Cassandra S Hetrick | Social Worker | 270 Sterkel Blvd, Mansfield, OH 44907-1508 | 2019-06-24 |
1003373598 | Ashley M. Bierman | Behavior Technician | 270 Sterkel Blvd, Mansfield, OH 44907-1508 | 2019-02-21 |
1740755214 | Robert D Nelson | Behavior Technician | 270 Sterkel Blvd, Mansfield, OH 44907-1508 | 2018-10-10 |
1124593165 | Andrew W. Miller | Marriage & Family Therapist | 270 Sterkel Blvd, Mansfield, OH 44907-1508 | 2018-10-05 |
1871072108 | Hannah L. Harwood | Case Manager/Care Coordinator | 270 Sterkel Blvd, Mansfield, OH 44907-1508 | 2018-08-08 |
1730666538 | Connie J Morris | Case Manager/Care Coordinator | 270 Sterkel Blvd, Mansfield, OH 44907-1508 | 2018-07-24 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053932434 | Kerri Nichole Tolliver | Licensed Practical Nurse | Mansfield Comprehensive Treatment Center, 475 Lexington Ave, Mansfield, OH 44907 | 2020-04-27 |
1790325371 | Gabrielle Smith | Licensed Practical Nurse | 707 Scholl Rd, Mansfield, OH 44907 | 2020-01-10 |
1912544982 | Heidi L Mathews | Behavior Technician | 270 Sterkel Blvd., Mansfield, OH 44907 | 2019-12-09 |
1851942254 | Misty J Kline | Licensed Practical Nurse | 707 Scholl Rd., Mansfield, OH 44907 | 2019-09-26 |
1528533320 | Ohio Treatment Center, LLC | Clinic/Center | 475 Lexington Ave., Mansfield, OH 44907 | 2018-10-08 |
1750898722 | Hannah Rose Hardin | Behavior Technician | 1033 Larchwood R, Mansfield, OH 44907 | 2017-12-29 |
1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
1336495258 | Sonal Sinha | Psychiatry & Neurology | 341 Cline Ave Ste 1, Mansfield, OH 44907 | 2012-07-29 |
1427321579 | Tara Kightlinger | Community Health Worker | 442 Brenda Dr, Mansfield, OH 44907 | 2012-02-21 |
1649557620 | William Scott Olar | Chiropractor | 1179 Lexington Ave, Mansfield, OH 44907 | 2011-11-04 |
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Taxonomy Code | 101Y00000X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871103283 | Be Still Counseling and Consulting, Pllc | Counselor | 602 Strada Cir Ste 119, Mansfield, TX 76063-3201 | 2020-08-01 |
1407407620 | Ryan Edward Rodrigues | Counselor | 792 S Main St Ste 102, Mansfield, MA 02048-3137 | 2019-09-28 |
1356871131 | Roger Noe | Counselor | 652 Holiday Dr, Mansfield, OH 44904-1819 | 2017-06-14 |
1497291389 | Latieria Edwards | Counselor | 606 Monroe St, Mansfield, LA 71052-3224 | 2017-01-16 |
1962959130 | Lakimberly Pratt Edwards | Counselor | 1048 Park Dr, Mansfield, LA 71052-4812 | 2016-09-06 |
1154780880 | Jacarri Jackson | Counselor | 238 Wildwood St, Mansfield, LA 71052-6420 | 2016-02-23 |
1619342433 | Stanley Cunningham | Counselor | 125 Canary Lane, Mansfield, LA 71052 | 2015-12-04 |
1083036545 | Roger Higginbotham | Counselor | 151 Marion Avenue, Mansfield, OH 44903-2223 | 2014-01-16 |
1649608431 | Giscard Sarkis | Counselor | 19 Homefield Dr # Dt, Mansfield, MA 02048-3330 | 2013-10-15 |
1932548856 | Jessica Alexis Taylor | Counselor | 641 Scholl Rd., Mansfield, OH 44907 | 2013-06-25 |
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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.