Affinity Healthworks, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

License

I10227 Issued in OH

Legal business name

AFFINITY HEALTHWORKS, LLC

Practice address

1092 Martha Ave
Bucyrus, OH 44820-3045

Phone

(419) 562-6229

Fax

(419) 617-3771

NPI assigned

Mar 19, 2009

Last updated

Mar 19, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Barbara Wirebaugh, LISW-S, MSWNPI 1861501843

Title

Owner/Sole Proprietor

Phone

(419) 569-6229

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Affinity Healthworks LLC

  • Community/Behavioral Health Agency
  • Bucyrus, OH
  • NPI 1366879397

  O20090415000263

  Same enrollment

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Barbara Ann Wirebaugh, LISW

  • Clinical Social Worker
  • Bucyrus, OH
  • NPI 1861501843
  Medicare reassignment Care Compare group Authorized official
• Michelle Suzanne Geissman, LISW

  • Mental Health Counselor
  • Bucyrus, OH
  • NPI 1982718664
  Medicare reassignment Care Compare group
• Jean Margaret Ollis, LSW, MSW

  • Clinical Social Worker
  • Bucyrus, OH
  • NPI 1922325851
  Medicare reassignment Care Compare group
• Allisun Lauthers

  • Mental Health Counselor
  • Mount Gilead, OH
  • NPI 1205425022
  NPD

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

{
    "created_epoch": "1237420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237420800000",
    "number": "1750522801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 722",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448200722",
            "telephone_number": "419-569-6229",
            "fax_number": "419-617-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 MARTHA AVE",
            "city": "BUCYRUS",
            "state": "OH",
            "postal_code": "448203045",
            "telephone_number": "419-562-6229",
            "fax_number": "419-617-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFINITY HEALTHWORKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-19",
        "last_updated": "2009-03-19",
        "status": "A",
        "authorized_official_last_name": "WIREBAUGH",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "OWNER/SOLE PROPRIETOR",
        "authorized_official_telephone_number": "419-569-6229",
        "authorized_official_credential": "LISW-S, MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "OH",
            "license": "I10227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 7-J's, Inc. (Lee's Comfort Shoes)
• Roman Achberger, DDS, MS
• Danielle Nichole Adkins, CDCA
• Affinity Healthworks LLC
• Affinity Healthworks, LLC
• Natalie Brooke Alt, M.A. CF-SLP
• Altercare of Bucyrus Center for Rehabilitation & Nursing Care, Inc.
• American Pain & Anesthesia, LLC
• Kyle Anderson
• David Paul Androw, MD

• Adolescent and Children Mental Health Clinic/Center in Bucyrus, OH
• Providers in Bucyrus, OH by specialty
• Adolescent and Children Mental Health Clinic/Center in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.