YOUTH SERVICE BUREAU (NPI# 1144542127) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144542127 |
| Entity Type | Organization |
| Organization Name | YOUTH SERVICE BUREAU |
| Practice Address |
734 W Delaware St Suite 206 Evansville IN 47710-1667 |
| Practice Telephone | 8124235816 |
| Practice Fax Number | 8124235294 |
| Mailing Telephone | 8124235816 |
| Mailing Fax Number | 8124235294 |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |
| Authorized Official Name | MR. TIMOTHY B. THARP (DIRECTOR) |
| Authorized Official Telephone | 8124235816 |
| Authorized Official Credential | M.S., LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
39002097A | IN | Behavioral Health & Social Service Providers |
| Y | 101Y00000X | Counselor | 39002097A | IN | Behavioral Health & Social Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | YOUTH SERVICE BUREAU | 904 G St, Eureka, CA 95501-1829 |
| System for Award Management (SAM) Entities | YOUTH SERVICE BUREAU OF ST TAMMANY PARIS | 430 N New Hampshire St, Covington, LA 70433-2830 |
| System for Award Management (SAM) Entities | YOUTH SERVICE BUREAU/BIG BRO SISTER | 906 Michigan Ave, La Porte, IN 46350-3505 |
| Street Address |
734 W DELAWARE ST SUITE 206 |
| City | EVANSVILLE |
| State | IN |
| Zip Code | 47710-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194713685 | Thomas W Kimmel | Anesthesiology | 734 W Delaware St, Suite 217, Evansville, IN 47710-1667 | 2005-10-10 |
| 1407396872 | Scott Wilhelmus | Hearing Instrument Specialist | 734 W Delaware St, Ste 261, Evansville, IN 47710-1667 | 2017-03-03 |
| 1629515200 | Hearing Works Inc | Hearing Instrument Specialist | 734 W Delaware St, Suite 261, Evansville, IN 47710-1667 | 2017-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659860971 | Deaconess Clinic, Inc. | Clinic/Center | 309 N 1st Ave, Evansville, IN 47710 | 2018-05-02 |
| 1558858852 | Amanda Marie Fox | Nurse Practitioner | 3838 N 1st Ave Ste E, Evansville, IN 47710 | 2018-04-23 |
| 1255708723 | Peter Wulff | Dentist | 350 W Columbia St Ste 1-d, Evansville, IN 47710 | 2015-08-31 |
| 1427483999 | Deanna Lynne Plummer | Nurse Practitioner | 4480 First Avenue, Evansville, IN 47710 | 2013-09-03 |
| 1124371067 | Michael Wayne Daugherty | Radiology | 350 W Columbia St Ste 420, Evansville, IN 47710 | 2012-10-16 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1609057835 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 621 W Columbia St, Evansville, IN 47710 | 2007-11-15 |
| 1023161478 | Janet Marie Kelley | Family Medicine | 3838 N 1st Ave Ste C, Evansville, IN 47710 | 2007-01-19 |
| 1164594545 | John David Diekmann | Dentist | 625 W Mill Rd, Evansville, IN 47710 | 2006-11-14 |
| 1407930977 | Allan C Knapp Dds LLC | Dentist | 3012 N First Ave, Evansville, IN 47710 | 2006-10-24 |
| Find all providers in zip 47710 | ||||
| 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 |
|---|---|---|---|---|
| 1962919787 | Charlene Ann Drake | Counselor | 728 N Cross Pointe Blvd Ste 102, Evansville, IN 47715-9163 | 2018-01-02 |
| 1316249105 | Melisha Victoria Knowlden | Counselor | 1333 W. Mill Rd, Suite #204, Evansville, IN 47710 | 2010-11-30 |
| 1326352287 | Russell Edward Vance IIi | Counselor | 8000 Lauderdale Dr, Evansville, IN 47715-6238 | 2010-08-03 |
| 1366695637 | Lori Anne Riley | Counselor | 101 Plaza East Blvd Ste 224, Evansville, IN 47715-2806 | 2008-10-29 |
| 1134387376 | Jean Wilson | Counselor | 1133 W Mill Rd Ste 211, Evansville, IN 47710-3806 | 2008-05-23 |
| 1275759888 | Deborah Hetzler | Counselor | 10621 Birdie Dr, Evansville, IN 47725-8018 | 2007-04-18 |
| 1316160096 | James W Ward | Counselor | 2700 W Indiana St, Evansville, IN 47712-5637 | 2007-04-11 |
| 1346316890 | Alice Sobotka | Counselor | 427 S Spring St, Evansville, IN 47714-1550 | 2006-11-27 |
| 1962027904 | Elizabeth Crystal Graham | Counselor | 60 S Stockwell Rd, Evansville, IN 47714-0247 | 2020-06-16 |
| 1538706379 | Matthew W Elliott | Counselor | 629 Ingle St, Evansville, IN 47708-1345 | 2019-11-27 |
| Find all providers in EVANSVILLE | ||||
| City | EVANSVILLE |
| Zip Code | 47710 |
Please comment or provide details below to improve the information on YOUTH SERVICE BUREAU.
| 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.