Provider Demographics
NPI:1306802517
Name:ST CLAIR, BARBARA J (MED, LPCC, CNP)
Entity type:Individual
Prefix:
First Name:BARBARA
Middle Name:J
Last Name:ST CLAIR
Suffix:
Gender:F
Credentials:MED, LPCC, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2845 BELL ST
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-1720
Mailing Address - Country:US
Mailing Address - Phone:740-454-9766
Mailing Address - Fax:740-588-6452
Practice Address - Street 1:2845 BELL ST
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-1720
Practice Address - Country:US
Practice Address - Phone:740-454-9766
Practice Address - Fax:740-588-6452
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2017-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE2679101YP2500X
OHCOA.14814-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHY523960OtherTHE HEALTH PLAN PIN
OH6278963OtherUBH PIN
OH3726OtherFEI BH PIN
OH140928OtherCOMPSYCH BH PIN
OH218928OtherTRICARE/MHN PIN
OH245901OtherMOUNT CARMEL PIN
OH000000226052OtherANTHEM PIN
OH251476000OtherMAGELLAN PIN
OH7556196OtherAETNA PIN