KRISTIN LEI YOUNG (NPI# 1235783259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235783259 |
| Entity Type | Individual |
| Full Name | KRISTIN LEI YOUNG |
| Credential | CSC-AD |
| Practice Address |
17645 Harbaugh Valley Rd Sabillasville MD 21780-9616 |
| Practice Telephone | 3012413629 |
| Mailing Telephone | 7575618184 |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2019-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
SC2015 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083983993 | Kristin Amy Young | Social Worker | 55 Tupper Road, Sandwich, MA 02563-0233 | 2011-12-21 |
| 1144300823 | Kristin Irene Young | Social Worker | 106 Cypress Ave, East Arkansas Youth Services, Marion, AR 72364 | 2006-10-16 |
| 1962904920 | Kristin Young | Behavior Technician | 3110 Camino Del Rio S Ste 307, San Diego, CA 92108-3832 | 2018-03-06 |
| 1073062741 | Kristin Young | Counselor | 1501 S. Clinton St., Mailstop Ct 05-13, Baltimore, MD 21224-5730 | 2016-09-22 |
| 1184006595 | Kristin Nicole Young | Nurse Practitioner | 1775 One Healing Pl, Tallahassee, FL 32308-4600 | 2015-06-22 |
| 1275927873 | Kristin Young | Marriage & Family Therapist | 700 E St, Suite 220, San Rafael, CA 94901-2762 | 2015-03-23 |
| Street Address |
17645 HARBAUGH VALLEY RD |
| City | SABILLASVILLE |
| State | MD |
| Zip Code | 21780-9616 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689145906 | Jamila Pennyman | Nurse Practitioner | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2018-12-14 |
| 1144871542 | Grace Trigger | Counselor | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-09-26 |
| 1609424530 | The Orenda Center for Wellness | Clinic/Center | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-09-04 |
| 1154984961 | The Orenda Center for Wellness LLC | Clinic/Center | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972892719 | Deborah Nina Smith | Nurse Practitioner | 6000 Cullen Drive, Sabillasville, MD 21780 | 2011-04-01 |
| 1154933687 | Amanda Lee Mohler | Nurse Practitioner | 15880 Manahan Rd, Sabillasville, MD 21780-8405 | 2020-08-17 |
| 1932334406 | Victor Cullen Center | Substance Abuse Rehabilitation Facility | 6000 Cullen Dr, Sabillasville, MD 21780-9701 | 2009-05-27 |
| 1144627043 | Washington County Health Department East | Clinic/Center | 5989 Cullen Dr, Sabillasville, MD 21780-9702 | 2014-11-21 |
| 1386810877 | Joel Grinder | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-05 |
| 1093296576 | Washington County Health Department-csap | Clinic/Center | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2018-08-23 |
| 1881082873 | Washington County Health Department-csap | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2014-12-30 |
| 1912174772 | Sonya Anthony | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-12 |
| 1013184050 | Charles Richard Avey | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-09 |
| 1679749709 | Jonathan Walter Sears | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-08 |
| Find all providers in zip 21780 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386810877 | Joel Grinder | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-05 |
| 1144871542 | Grace Trigger | Counselor | 17645 Harbaugh Valley Rd, Sabillasville, MD 21780-9616 | 2019-09-26 |
| 1881082873 | Washington County Health Department-csap | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2014-12-30 |
| 1912174772 | Sonya Anthony | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-12 |
| 1013184050 | Charles Richard Avey | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-09 |
| 1679749709 | Jonathan Walter Sears | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-08 |
| 1689840829 | Robert Hunter Thorn | Counselor | 5980 Cullen Dr, Sabillasville, MD 21780-9702 | 2008-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091522 | Choices Integrated Healthcare | Counselor | 1600 Bush St, Baltimore, MD 21230-2021 | 2020-10-22 |
| 1831706068 | James Simmons | Counselor | 975 Solomons Island Rd N # 119, Prince Frederick, MD 20678-3917 | 2020-10-01 |
| 1730791609 | Tony C Shaw | Counselor | 2814 W Garrison Ave, Baltimore, MD 21215-5335 | 2020-08-20 |
| 1134739600 | Crystal Yolanda Mason | Counselor | 10006 Antium Way, Owings Mills, MD 21117-4069 | 2020-08-08 |
| 1023628849 | Delores Jordan | Counselor | 2640 Oswego Ave, Baltimore, MD 21215-7037 | 2020-08-06 |
| 1588274773 | Positive Reinforcements Inc. | Counselor | 30260 Mount Vernon Rd Unit 6, Princess Anne, MD 21853-2202 | 2020-08-03 |
| 1073122511 | Rasheed Badmus | Counselor | 46 Solar Cir Apt A, Parkville, MD 21234-6831 | 2020-07-30 |
| 1144838277 | Guiding Lives | Counselor | 6305 Belair Rd, Baltimore, MD 21206-1817 | 2020-07-15 |
| 1750908943 | New Life Services LLC. | Counselor | 3600 W Mulberry St, Baltimore, MD 21229-2928 | 2020-07-03 |
| 1801413422 | Karena Tinika Lee | Counselor | 1336 Homestead St, Baltimore, MD 21218-3624 | 2020-06-30 |
| Find all providers with the same taxonomy | ||||
| City | SABILLASVILLE |
| Zip Code | 21780 |
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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.