Active NPI
Danielle Whiteside
- Case Manager/Care Coordinator
- Holland, OH
National Provider Identifier
1578070736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- License
- 150575
- Practice address
- 7015 Spring MDWS W Ste 102
Holland, OH 43528-9299 - Phone
- (419) 491-1180
- NPI assigned
- Jan 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 150575 | OH | Primary |
| Community/Behavioral Health Agency | 251S00000X | 150575 | OH |
Addresses
Primary practice location
7015 Spring MDWS W Ste 102
Holland, OH 43528-9299
Mailing address
5525 Beechwood Ave
Maple Heights, OH 44137-2702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150575 | Other | OH | CHEMICAL DEPENDENCE BOARD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 150575 | OH | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742256000000",
"number": "1578070736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5525 BEECHWOOD AVE",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441372702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7015 SPRING MDWS W STE 102",
"city": "HOLLAND",
"state": "OH",
"postal_code": "435289299",
"telephone_number": "419-491-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITESIDE",
"first_name": "DANIELLE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-09",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "OH",
"license": "150575",
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "OH",
"license": "150575",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHEMICAL DEPENDENCE BOARD",
"identifier": "150575",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Holland, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.