JETTIE C YOUNG (NPI# 1083189930) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083189930 |
| Entity Type | Individual |
| Full Name | JETTIE C YOUNG |
| Credential | LPC, LCDC |
| Practice Address |
4101 Louise Lee Dr Austin TX 78725-4005 |
| Practice Telephone | 5127030770 |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2019-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14586 | TX | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
78674 | TX | Behavioral Health & Social Service Providers |
| Street Address |
4101 LOUISE LEE DR |
| City | AUSTIN |
| State | TX |
| Zip Code | 78725-4005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407222698 | Antonio Ruscitto II | Physical Therapist | 7401 Tx-71, #130, Austin, TX 78725 | 2015-08-11 |
| 1326454588 | Michael Parent | Psychologist | 11713 Saddle Rock Dr, Austin, TX 78725 | 2014-07-09 |
| 1013054303 | Rosie V Holmes | Lodging | 4707 Imperial Dr, Austin, TX 78725 | 2007-01-30 |
| 1295034197 | Merchants of Hope Community Mental Health Center | Respite Care | 4610 Castleman Dr, Austin, TX 78725-1718 | 2011-03-18 |
| 1457801433 | Emily C Griffin | Registered Nurse | 14312 Hunters Bend Rd, Austin, TX 78725-1826 | 2016-10-13 |
| 1043837800 | Melanie Lee Judice | Physician Assistant | 14312 Hunters Bend Rd, Austin, TX 78725-1826 | 2020-06-28 |
| 1992343537 | Central Texas Community Health Centers | Clinic/Center | 14312 Hunters Bend Rd, Austin, TX 78725-1826 | 2019-12-13 |
| 1396024550 | Jayme Katrice Moore | Midwife | 7709 Delwau Ln, Austin, TX 78725-2614 | 2011-08-05 |
| 1366815367 | Cristie Gralinski | Community Health Worker | 2601 Highland Haven Dr, Austin, TX 78725-2906 | 2015-11-12 |
| 1730489600 | Aurea Luisa Negron | Licensed Practical Nurse | 14200 Sarah Ann Dr, Austin, TX 78725-4006 | 2010-10-26 |
| Find all providers in zip 78725 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457385 | Rachel Marie Trembley | Counselor | 10403 School House Ln, Austin, TX 78750-1728 | 2020-11-05 |
| 1619578614 | Naquasha Riser | Counselor | 9415 Mcneil Dr Apt 623, Austin, TX 78750-8560 | 2020-11-05 |
| 1811596372 | Alexandra Caron | Counselor | 11900 Hobby Horse Ct Apt 434, Austin, TX 78758-2953 | 2020-10-25 |
| 1003415068 | Thomas Craig Saathoff | Counselor | 1616 Headway Cir, Austin, TX 78754-5106 | 2020-10-21 |
| 1699373746 | Molly Roth | Counselor | 7703 N Lamar Blvd Ste 500, Austin, TX 78752-1055 | 2020-10-12 |
| 1063010098 | Lindsey Witz | Counselor | 2525 Wallingwood Dr Ste 301, Austin, TX 78746-6922 | 2020-10-12 |
| 1396350823 | Natalie Hussung Schneider | Counselor | 7703 N Lamar Blvd Ste 340, Austin, TX 78752-1061 | 2020-09-11 |
| 1174135818 | Melanie Dyer | Counselor | 401 Little Texas Ln Apt 1526, Austin, TX 78745-4135 | 2020-08-22 |
| 1366053563 | Selena E Coburn | Counselor | 4424 Gaines Ranch Loop Apt 1434, Austin, TX 78735-6540 | 2020-08-11 |
| 1235748674 | Paz Behavioral Health, Pllc | Counselor | 3310 W Braker Ln Ste 300545, Austin, TX 78758-7853 | 2020-07-30 |
| Find all providers in AUSTIN | ||||
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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.