STEVEN INGRID BOONE YOUTH FOUNDATION (NPI# 1093010456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093010456 |
| Entity Type | Organization |
| Organization Name | STEVEN INGRID BOONE YOUTH FOUNDATION |
| Other Organization Name | SIB YOUTH FOUNDATION |
| Practice Address |
459 Main St Suite 101-273 Trussville AL 35173-1416 |
| Mailing Address |
9721 Parkway E Suite A Birmingham AL 35215-7857 |
| Practice Telephone | 2058533526 |
| Mailing Telephone | 2054102893 |
| Enumeration Date | 2011-01-17 |
| Last Update Date | 2011-01-17 |
| Authorized Official Name | MRS. TYKEYSHA BOONE (ADMINISTRATIVE DIRECTOR) |
| Authorized Official Telephone | 2054105065 |
| Authorized Official Credential | MPH, CHES |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251300000X | Local Education Agency (LEA) | Agencies | ||
| N | 251B00000X | Case Management | Agencies | ||
| N | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
| N | 251K00000X | Public Health or Welfare | Agencies | ||
| N | 251V00000X | Voluntary or Charitable | Agencies | ||
| N | 252Y00000X | Early Intervention Provider Agency | Agencies | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| SIB Youth Foundation | Other Name - Individual/Organization |
| Street Address |
459 MAIN ST SUITE 101-273 |
| City | TRUSSVILLE |
| State | AL |
| Zip Code | 35173-1416 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881844405 | Doctors Choice Group Inc | Family Medicine | 459 Main St, Suite 101, Trussville, AL 35173-1418 | 2008-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982189262 | Walden Brook Schlundt-capps | Nurse Practitioner | 4913 Dearfoot Parkway, Trussville, AL 35173 | 2018-10-02 |
| 1770064321 | Joyce Yerman Coyle | Pharmacist | 5940 Trussville Crossings Pkwy, Birmingham, AL 35173 | 2018-08-22 |
| 1467931949 | Kelly M Bonnett | Nurse Practitioner | 117 N Chalkville Rd, Trussville, AL 35173 | 2018-08-07 |
| 1770028821 | Angelle Sieg Taylor | Counselor | 3504 Vann Road Suite 100, Trussville, AL 35173 | 2016-12-28 |
| 1467722694 | Laura Sherrill Barksdale | Nurse Anesthetist, Certified Registered | 300 Bradford Cir, Trussville, AL 35173 | 2012-01-04 |
| 1245551878 | Scott C Boyken | Family Medicine | 7201 Happy Hollow Road, Suite 101, Trussville, AL 35173 | 2010-06-17 |
| 1740503234 | Lauren C Sineath | Nutritionist | 5257 Stockton Pass, Trussville, AL 35173 | 2010-03-11 |
| 1386861128 | Michael Lawrence Ryan | Specialist/Technologist | 2053 Enclave Drive, Trussville, AL 35173 | 2007-04-20 |
| 1346372794 | Brett Stanley Bruce | Dentist | 6995 Gadsden Hwy, Trussville, AL 35173 | 2007-03-12 |
| 1528100682 | Michael J Sabatini | Pharmacist | 6404 Whitetail Lane, Birmingham, AL 35173 | 2007-02-13 |
| Find all providers in zip 35173 | ||||
| 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 |
|---|---|---|---|---|
| 1336605609 | Crescent Counseling Services, LLC | Community/Behavioral Health | 459 Main St # 357, Trussville, AL 35173-1416 | 2019-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886193 | The Cade Center LLC | Community/Behavioral Health | 2601 County Road 45, Lisman, AL 36912-2764 | 2020-09-21 |
| 1326652785 | Perfect Imperfections Behavioral Health Services LLC | Community/Behavioral Health | 1829 Princeton Ct Sw, Birmingham, AL 35211-2430 | 2020-09-03 |
| 1740893346 | Phoenix Community Support Services LLC | Community/Behavioral Health | 4111 Avenue L, Birmingham, AL 35208-1807 | 2020-08-25 |
| 1124639935 | Twindom Counseling Services, LLC | Community/Behavioral Health | 202 Lackey Street, Boaz, AL 35957 | 2020-08-14 |
| 1902414972 | Brenda Chynoweth LLC | Community/Behavioral Health | 703 E Glenn Ave Ste D, Auburn, AL 36830-5016 | 2020-07-16 |
| 1821619453 | Abilities Unlimited LLC | Community/Behavioral Health | 1761 Wire Rd Apt 4-7, Auburn, AL 36832-6645 | 2020-05-05 |
| 1811517147 | Paths To Empowerment Counseling Services, LLC | Community/Behavioral Health | 7850 Country Dr, Mobile, AL 36619-5325 | 2020-04-16 |
| 1659904258 | The Solace Group | Community/Behavioral Health | 8129 Jackson Ave, Leeds, AL 35094-1480 | 2020-02-21 |
| 1083253504 | The Dallas Maryland Wellness Group, LLC | Community/Behavioral Health | 882 Plantation Way Ste E, Montgomery, AL 36117-2217 | 2020-01-01 |
| 1629617444 | Haven Counseling Services of Cullman, LLC | Community/Behavioral Health | 18291 Us Hwy 31, Cullman, AL 35058 | 2019-12-26 |
| Find all providers with the same taxonomy | ||||
| City | TRUSSVILLE |
| Zip Code | 35173 |
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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.