Dylan Pelham

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

741 Scholl Rd
Mansfield, OH 44907

Phone

(419) 756-1717

NPI assigned

Apr 12, 2016

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Center for Individual and Family Services, Inc.Group PAC ID 9133102544, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Center for Individual and Family Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mansfield, OH
  • NPI 1487669222
  Medicare reassignment Care Compare group NPD
• The Center for Individual & Family Services, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Mansfield, OH
  • NPI 1568722171
  NPD
• Three C Counseling, LLC

  • Community/Behavioral Health Agency
  • Mansfield, OH
  • NPI 1760871222
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551830400000",
    "number": "1053775478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 SCHOLL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "449071571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 SCHOLL RD",
            "city": "MANSFIELD",
            "state": "OH",
            "postal_code": "44907",
            "telephone_number": "419-756-1717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13 Park Ave W Ste 400",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449021743",
            "country_code": "US",
            "telephone_number": "419-522-5015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13 Park Ave W Ste 400",
            "address_purpose": "LOCATION",
            "city": "Mansfield",
            "state": "OH",
            "postal_code": "449021743",
            "country_code": "US",
            "telephone_number": "419-522-5015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PELHAM",
        "first_name": "DYLAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-12",
        "last_updated": "2019-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "OH",
            "license": "140635",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Lynn Payton, RN
• Peace of Mind Services, LLC
• Mandy Pearce
• Pedialift LLC
• Jamie Lynn Pelfrey
• Shanican S Pender, CDCA
• Kamrin Nicole Pendleton
• Holly Penix, NP
• Dalia Enid Perez-Gonzalez, M.D.
• Melinda Perkins

• Social Worker in Mansfield, OH
• Providers in Mansfield, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.