Basic Information
| Provider Information | |||||||||
| NPI: | 1306802517 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ST CLAIR | ||||||||
| FirstName: | BARBARA | ||||||||
| MiddleName: | J | ||||||||
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| Credential: | MED, LPCC, CNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2845 BELL ST | ||||||||
| Address2: | |||||||||
| City: | ZANESVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437011720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404549766 | ||||||||
| FaxNumber: | 7405886452 | ||||||||
| Practice Location | |||||||||
| Address1: | 2845 BELL ST | ||||||||
| Address2: | |||||||||
| City: | ZANESVILLE | ||||||||
| State: | OH | ||||||||
| PostalCode: | 437011720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7404549766 | ||||||||
| FaxNumber: | 7405886452 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2006 | ||||||||
| LastUpdateDate: | 02/17/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YP2500X | E2679 | OH | N | Behavioral Health & Social Service Providers | Counselor | Professional | 363LP0808X | COA.14814-NP | OH | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psych/Mental Health |
ID Information
| ID | Type | State | Issuer | Description | Y523960 | 01 | OH | THE HEALTH PLAN PIN | OTHER | 6278963 | 01 | OH | UBH PIN | OTHER | 3726 | 01 | OH | FEI BH PIN | OTHER | 140928 | 01 | OH | COMPSYCH BH PIN | OTHER | 218928 | 01 | OH | TRICARE/MHN PIN | OTHER | 245901 | 01 | OH | MOUNT CARMEL PIN | OTHER | 000000226052 | 01 | OH | ANTHEM PIN | OTHER | 251476000 | 01 | OH | MAGELLAN PIN | OTHER | 7556196 | 01 | OH | AETNA PIN | OTHER |