YOUTH UNLIMITED INC (NPI# 1073951281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073951281 |
| Entity Type | Organization |
| Organization Name | YOUTH UNLIMITED INC |
| Practice Address |
2962 Youth Unlimited Dr Sophia NC 27350-8481 |
| Mailing Address |
Po Box 485 High Point NC 27261-0485 |
| Practice Telephone | 3368619243 |
| Mailing Telephone | 3368831361 |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2013-06-10 |
| Authorized Official Name | MR. R CLIFFORD PARKER JR. (EX DIRECTOR) |
| Authorized Official Telephone | 3368831361 |
| Authorized Official Credential | M.A. LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | NC | Behavioral Health & Social Service Providers | |
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 251S00000X | Community/Behavioral Health | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8300347G | 05 | |
| NC | 6005364 | 05 | |
| NC | 8300347H | 05 | |
| NC | 5907794 | 05 | |
| NC | 3410056 | 05 | |
| NC | 8300354H | 05 | |
| NC | 8300354G | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487092607 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 2748 Youth Unlimited Dr, Sophia, NC 27350-8461 | 2013-06-10 |
| 1588002703 | Youth Unlimited Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2780 Youth Unlimited Dr, Sophia, NC 27350-8461 | 2013-06-10 |
| 1447698659 | Youth Unlimited Inc | Community/Behavioral Health | 2869 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2013-06-10 |
| 1629416003 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 2872 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2013-06-07 |
| 1407901689 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 338 Burton Ave, High Point, NC 27262-8070 | 2007-01-25 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | YOUTH UNLIMITED INC. | 121 E Historic Columbia River Hwy, Troutdale, OR 97060 |
| Street Address |
2962 YOUTH UNLIMITED DR |
| City | SOPHIA |
| State | NC |
| Zip Code | 27350-8481 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336473479 | Jane Elizabeth Hoonhout | Nurse Practitioner | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2009-09-22 |
| 1336543776 | Keisha Mccleese Moore | Counselor | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2014-10-14 |
| 1124383054 | Robert Andrew Lindsay Jr. | Social Worker | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2012-07-06 |
| 1083924203 | Judith Jan Fradenburg | Social Worker | 2962 Youth Unlimited Dr, Sophia, NC 27350-8481 | 2010-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801084108 | Debra Lanier Tatum | Counselor | 6658 Flint Hill Rd, Sophia, NC 27350-8120 | 2007-10-11 |
| 1144827585 | Catherine B Sullivan | Registered Nurse | 4111 Beeson Farm Rd, Sophia, NC 27350-8451 | 2020-10-08 |
| 1447698659 | Youth Unlimited Inc | Community/Behavioral Health | 2869 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2013-06-10 |
| 1457372088 | Melanie Coble Paschal | Social Worker | 2872 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2006-07-21 |
| 1629416003 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 2872 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2013-06-07 |
| 1487092607 | Youth Unlimited Inc | Community Based Residential Treatment Facility, Mental Illness | 2748 Youth Unlimited Dr, Sophia, NC 27350-8461 | 2013-06-10 |
| 1588002703 | Youth Unlimited Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2780 Youth Unlimited Dr, Sophia, NC 27350-8461 | 2013-06-10 |
| 1679898035 | Martha R Powell | Occupational Therapist | 3917 Old Courthouse Rd, Sophia, NC 27350-8865 | 2010-03-29 |
| 1316087992 | Country Club II | Lodging | 4011 Old Courthouse Rd, Sophia, NC 27350-8866 | 2007-02-06 |
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447698659 | Youth Unlimited Inc | Community/Behavioral Health | 2869 Youth Unlimited Dr, Sophia, NC 27350-8460 | 2013-06-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.