MR. KEITH ANTHONY VUKASINOVICH (NPI# 1982625208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982625208 |
| Entity Type | Individual |
| Full Name | MR. KEITH ANTHONY VUKASINOVICH |
| Credential | LPCC |
| Practice Address |
4130 Linden Ave Suite 309 Dayton OH 45437 |
| Practice Telephone | 9372547301 |
| Practice Fax Number | 9372542117 |
| Mailing Telephone | 9372547301 |
| Mailing Fax Number | 9372542117 |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2010-04-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
E 3246 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | TAX I.D. | 310734113 | 01 |
| OH | MC0713 | 05 | |
| OH | UBH | 310734113 | 01 |
| Street Address |
4130 LINDEN AVE SUITE 309 |
| City | DAYTON |
| State | OH |
| Zip Code | 45437 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881684769 | Mary Ann Jones | Psychologist | 4130 Linden Ave, Suite 309, Dayton, OH 45432-3015 | 2005-10-24 |
| 1184097842 | Carroll S Jackson | Social Worker | 4130 Linden Ave, Suite 250, Dayton, OH 45432-3015 | 2015-11-03 |
| 1871926386 | Melynda Nickles | Social Worker | 4130 Linden Ave, Ste 390, Dayton, OH 45432-3015 | 2013-08-20 |
| 1790059509 | Katherine L Cooper | Social Worker | 4130 Linden Ave, Ste 390, Dayton, OH 45432-3015 | 2012-02-27 |
| 1487928289 | Tami A Roll | Social Worker | 4130 Linden Ave, Ste 390, Dayton, OH 45432-3015 | 2012-02-27 |
| 1083988893 | Scott A Beidelman | Social Worker | 4130 Linden Ave, Ste 390, Dayton, OH 45432-3015 | 2012-02-27 |
| 1114137916 | Comprehensive Home Health Care Inc | Home Health | 4130 Linden Ave, Suite 236, Dayton, OH 45432-3057 | 2007-05-23 |
| 1184663379 | Tyrone Payne | Psychologist | 4130 Linden Ave, Suite 309, Dayton, OH 45432-3015 | 2006-06-05 |
| 1740266683 | Michael Alan Williams | Psychologist | 4130 Linden Ave, Suite 309, Dayton, OH 45432-3015 | 2005-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366043176 | Tyreal Nycole Love | Home Health Aide | 506 Geneva Rd, Dayton, OH 45417-1349 | 2020-11-06 |
| 1114528296 | James Aaron Brooks | Massage Therapist | 806 Picket Pl, Dayton, OH 45433-1325 | 2020-11-04 |
| 1902407117 | Serene Home Health Services | Home Health | 4812 Frederick Pike Ste 105, Dayton, OH 45414-3835 | 2020-11-04 |
| 1508467135 | Nancy Fratini | Homemaker | 5316 Split Rail, Dayton, OH 45429-1963 | 2020-11-02 |
| 1437759016 | Laura K Baggette | Music Therapist | 1364 Black Forest Dr Apt 70, Dayton, OH 45449-3800 | 2020-10-31 |
| 1679173355 | Anna Guajardo | Homemaker | 420 Grove Ave, Dayton, OH 45404-1912 | 2020-10-30 |
| 1992305700 | Jason Patrick Scoles | Military Health Care Provider | 5607 Hickam Dr, Dayton, OH 45431-1544 | 2020-10-30 |
| 1174123806 | Gary Lovings | Technician | 1553 Roamont Dr, Dayton, OH 45459-3361 | 2020-10-30 |
| 1245830074 | Progressivehealth Healthspot | Clinic/Center | 500 Walnut Grove Rd, Dayton, TN 37321-5941 | 2020-10-30 |
| 1588264204 | Jennifer Ann Scholl | Contractor | 2551 Hilton Dr Apt 1, Dayton, OH 45409-1822 | 2020-10-30 |
| Find all providers in DAYTON | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649879248 | Calypso Counseling, LLC | Counselor | 77 W Elmwood Dr Ste 303, Dayton, OH 45459-4270 | 2020-10-23 |
| 1578170403 | Nicholas Daniel Defazio | Counselor | 1951 S Gettysburg Ave, Dayton, OH 45417-4160 | 2020-09-24 |
| 1518576016 | Butler County Community Health Consortium, Inc. | Counselor | 2011 Timber Ln Ste B, Dayton, OH 45414-4528 | 2020-07-30 |
| 1578102075 | Yvonne De La Paix | Counselor | 350 Dayton Valley Rd Apt 15, Dayton, NV 89403-8918 | 2019-12-31 |
| 1346885530 | Arrell Johnson | Counselor | 120 Devonhurst Dr Apt F, Dayton, OH 45429-2180 | 2019-11-12 |
| 1235798968 | Joshua Minnich | Counselor | 1129 Miamisburg Centerville Rd # 201, Dayton, OH 45449-4004 | 2019-06-06 |
| 1669039418 | Lornette Darden Dallas | Counselor | South Community Behavioral Healthcare, 3095 Kettering Blvd, Dayton, OH 45439-2900 | 2019-05-28 |
| 1992268106 | Stephanie Marin Johnson | Counselor | 1611 Railroad St, Dayton, TN 37321-1044 | 2019-04-13 |
| 1447742895 | Darreon Darrell Greer Sr. | Counselor | Counseling and Wellness Services 053 Student Union, Dayton, OH 45435-0001 | 2018-06-01 |
| 1407366511 | Dominique Dixon | Counselor | 1 Elizabeth Pl Ste Rt-1, Dayton, OH 45417-3445 | 2017-10-03 |
| Find all providers in DAYTON | ||||
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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.