PENNY YOUNG (NPI# 1104115773) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104115773 |
| Entity Type | Individual |
| Full Name | PENNY YOUNG |
| Practice Address |
2424 W Main St Russellville AR 72801-2531 |
| Mailing Address |
5537 Bleaux Ave Springdale AR 72762-0737 |
| Practice Telephone | 4799674673 |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2011-04-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891936365 | Penny B Young | Nurse Practitioner | 770 Saybrook Rd Bldg B, Middletown, CT 06457-4739 | 2009-03-13 |
| Street Address |
2424 W MAIN ST |
| City | RUSSELLVILLE |
| State | AR |
| Zip Code | 72801-2531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861615064 | Dayspring Services of Arkansas LLC | Community/Behavioral Health | 2424 W Main St, Russellville, AR 72801-2531 | 2007-04-10 |
| 1407360191 | Amy Melissa Pintado | Physician Assistant | 2424 W Main St, Russellville, AR 72801-2531 | 2017-11-17 |
| 1215220132 | Robertson Eye Center | Optometrist | 2424 W Main St, Russellville, AR 72801-2531 | 2011-05-25 |
| 1114216884 | Kathy Wyatt | Counselor | 2424 W Main St, Russellville, AR 72801-2531 | 2011-04-04 |
| 1033410170 | Deanna Beth Pilkington | Social Worker | 2424 W Main St, Russellville, AR 72801-2531 | 2010-11-05 |
| 1265746564 | Melia Ray Robertson | Optometrist | 2424 W Main St, Russellville, AR 72801-2531 | 2010-07-29 |
| 1982915989 | Kelli Amber Rhymes | Counselor | 2424 W Main St, Russellville, AR 72801-2531 | 2010-06-24 |
| 1881905883 | Jason Gregory Lowe | Counselor | 2424 W Main St, Russellville, AR 72801-2531 | 2010-06-24 |
| 1295056166 | Cecily M Leeper | Counselor | 2424 W Main St, Russellville, AR 72801-2531 | 2010-06-15 |
| 1306168901 | Misty Michelle Haskins | Counselor | 2424 W Main St, Russellville, AR 72801-2531 | 2010-02-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962002782 | Randy Paul Stayton | Pharmacist | 2109 W Main, Russellville, AR 72801 | 2020-10-30 |
| 1871134825 | Just Spreading Love Senior Care LLC | Student in an Organized Health Care Education/Training Program | 1411 N. Pittsburg Avenue, Russellville, AR 72801 | 2019-10-01 |
| 1124670369 | Richard L Morgan Dds Pa | Dentist | 1700 West C Place, Russellville, AR 72801 | 2019-07-09 |
| 1407342371 | Andrew James Hickman | Optometrist | 2711 E Parkway Drive, Russellville, AR 72801 | 2018-07-03 |
| 1154859833 | Felicia Head | Speech-Language Pathologist | 220 W 10th St., Russellville, AR 72801 | 2017-05-25 |
| 1295281293 | Arkansas Liver and Gastroenterology, P.a. | Internal Medicine | 1605 West Main Street, Russellville, AR 72801 | 2016-08-30 |
| 1467802405 | Kah Development 4, LLC | Hospice Care, Community Based | 3801 W Main St Ste A, Russellville, AR 72801 | 2016-06-21 |
| 1871904839 | Sleep Partners, LLC | Clinic/Center | 1310 West B Street, Suite A, Russellville, AR 72801 | 2014-05-13 |
| 1942647029 | Rpi Sleep Complete LLC | Clinic/Center | 1310 West Main Street, Suite 201, Russellville, AR 72801 | 2013-05-29 |
| 1184967291 | Amedco Arkansas Pllc | Optometrist | 302 N. Phoenix Ave., Clark Eye Clinic, Russellville, AR 72801 | 2013-03-27 |
| Find all providers in zip 72801 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073011789 | Bettie S Hillman | Counselor | Po Box 795, Russellville, AL 35653-0795 | 2018-01-28 |
| 1043693450 | Matthew Waymack | Counselor | 1610 S Arkansas Ave, Russellville, AR 72801-7125 | 2015-07-02 |
| 1366838930 | Sarah Paquette | Counselor | 1610 S Arkansas Ave Ste 1, Russellville, AR 72801-7100 | 2015-04-10 |
| 1891080909 | Tera Dacus | Counselor | 1505 S. Oswego Ave, Russellville, AR 72802 | 2011-06-16 |
| 1912296039 | Craig Witcher | Counselor | 402 W O St, Health and Wellness Center, Dean Hall 126, Russellville, AR 72801-8810 | 2011-03-29 |
| 1003445214 | Raven Cruz-humberto | Counselor | 700 E Parkway Dr, Russellville, AR 72801-4202 | 2020-04-08 |
| 1699295311 | Mallory Ford | Counselor | 1610 S Arkansas Ave, Russellville, AR 72801-7125 | 2017-06-23 |
| 1902335250 | Amber England | Counselor | 1610 S Arkansas Ave, Russellville, AR 72801-7125 | 2017-06-09 |
| 1790135028 | Lindsay Keeter | Counselor | 1610 S Arkansas Ave Ste 1, Russellville, AR 72801-7100 | 2016-06-17 |
| 1366891269 | Jenna Goodwin | Counselor | 1610 S Arkansas Ave, Russellville, AR 72801-7125 | 2016-06-10 |
| Find all providers in RUSSELLVILLE | ||||
| City | RUSSELLVILLE |
| Zip Code | 72801 |
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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.