Autumn Treatment Center LLC
A Medicare group practice based in Springfield, OH: 3 NPIs enrolled under one PECOS associate control ID (PAC ID 6002204344), with 32 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 6002204344
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- OH
- Enrollments
- 1
- Group size
- 15 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20211019002513 | OH | Part B Supplier - Clinic/Group Practice | 1225601826 |
NPIs in this group 3
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Autumn Treatment Center LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Washington Court House, OH
- NPI 1225601826
-
Autumn Treatment Center LLC
- Family Medicine Physician
- Springfield, OH
- NPI 1104633221
-
Autumn Treatment Center LLC
- Clinic/Center
- Washington Court House, OH
- NPI 1275112815
Practice locations
- Washington Court House, OH1
- Springfield, OH1
Clinicians 32
Clinicians who reassign their Medicare benefits to this group (30) or whom Care Compare lists as members (15).
-
Raven Brundige, LPCCS
- Professional Counselor
- Mansfield, OH
- NPI 1912403510
-
Darren Burgin, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Newark, OH
- NPI 1629239322
-
Heather Ann Campbell, PMHNP
- Psychiatric/Mental Health Nurse Practitioner
- Moraine, OH
- NPI 1891505863
-
Janette Cauthen, NP
- Psychiatric/Mental Health Nurse Practitioner
- Prospect, OH
- NPI 1760354005
-
Jia Kirsten Cheng, APRN-CNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Reynoldsburg, OH
- NPI 1801676374
-
Anna Lisa Clark, LISW, LICDC
- Addiction (Substance Use Disorder) Counselor
- North Ridgeville, OH
- NPI 1457376485
-
Laura I Davis-Perry, LISW
- Clinical Social Worker
- Reynoldsburg, OH
- NPI 1407293681
-
Pavan Venkata Dontineni, M.D
- Psychiatry Physician
- Columbus, OH
- NPI 1790944866
-
Emmanuel P Dsouza, CNP
- Family Nurse Practitioner
- Dayton, OH
- NPI 1073811915
-
Chelsea Earnheart, LSW
- Clinical Social Worker
- Pickerington, OH
- NPI 1437665155
-
Charlotte Ann Fuchs, LPCC-S
- Mental Health Counselor
- Rayland, OH
- NPI 1124794698
-
Jillian Illyse Gutierrez, NP-C
- Family Nurse Practitioner
- Springfield, OH
- NPI 1831851278
-
Ashley Hashman, L.S.W.
- Mental Health Counselor
- Barnesville, OH
- NPI 1225545742
-
Anna Hung-Chan, CNP
- Family Nurse Practitioner
- Westerville, OH
- NPI 1881064004
-
Shannon R Hurst, M.S.W.
- Clinical Social Worker
- Dayton, OH
- NPI 1235158023
-
Jessica Knight
- Social Worker
- Cleveland, OH
- NPI 1578022240
-
Sudhakar B. Mannam, MD
- Pain Medicine Physician
- Uniontown, PA
- NPI 1386629822
-
Julianne Elizabeth McConeghey
- Clinical Social Worker
- Worthington, OH
- NPI 1609464718
-
Sara McLean, CNP
- Psychiatric/Mental Health Nurse Practitioner
- Reynoldsburg, OH
- NPI 1437935541
-
Suseela Venketa Nalluri, M.D.
- Psychiatry Physician
- Columbus, OH
- NPI 1265511729
-
Mourine J Nyangoro, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, OH
- NPI 1770987950
-
William Michael Brendan O'Ryan, LSW, LCDC III
- Clinical Social Worker
- Columbus, OH
- NPI 1730519802
-
Urjaben Pramodbhai Patel, APRN-CNP
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, OH
- NPI 1588363220
-
Kashmere Lynnette Pearson, MSN, APRN-CNP, FNP-C
- Family Nurse Practitioner
- Washington Court House, OH
- NPI 1013588086
-
Nawal Rahim
- Psychiatric/Mental Health Nurse Practitioner
- Reynoldsburg, OH
- NPI 1033980503
-
Sharon K Silvus, LISW-S, LICDC
- Clinical Social Worker
- Zanesville, OH
- NPI 1659892560
-
Giri Singh, MD
- Psychiatry Physician
- Dublin, OH
- NPI 1356338222
-
Stephanie Lynn Strausbaugh, NP-C
- Family Nurse Practitioner
- Mount Vernon, OH
- NPI 1871934372
-
Slessor Mah Toh-Fombang
- Psychiatric/Mental Health Nurse Practitioner
- Columbus, OH
- NPI 1205509452
-
Katie Wieber, LISW
- Clinical Social Worker
- Toledo, OH
- NPI 1609323542
-
Deborah Ann Winningham, MSW, LISW
- Social Worker
- Lewis Center, OH
- NPI 1235233271
-
Kayleigh Young, LISW
- Clinical Social Worker
- Marysville, OH
- NPI 1134854466
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.