GINA YOUNG (NPI# 1245679653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245679653 |
| Entity Type | Individual |
| Full Name | GINA YOUNG |
| Credential | LICSW |
| Practice Address |
2430 Nicollet Ave South Washburn Center for Children Minneapolis MN 55404 |
| Mailing Address |
1100 Glenwood Ave Washburn Center for Children Minneapolis MN 55405-1430 |
| Practice Telephone | 6128711454 |
| Practice Fax Number | 6128711505 |
| Mailing Telephone | 6128711454 |
| Mailing Fax Number | 6128711505 |
| Enumeration Date | 2013-06-19 |
| Last Update Date | 2014-12-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 20511 | MN | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841558558 | Gina J Young | Occupational Therapy Assistant | 3009 Wisteria Dr, Mission, TX 78574-2074 | 2012-05-01 |
| 1184648016 | Gina R Young | Home Health Aide | 4472 Bridlewood Ln, Batavia, OH 45103-1439 | 2006-07-26 |
| 1497226930 | Gina Young | Counselor | 671 S Lewis Ave, Waukegan, IL 60085-6101 | 2018-12-10 |
| 1962821454 | Gina R Young | Counselor | 505 S Dewey St, Suite 208, Eau Claire, WI 54701-3704 | 2014-04-10 |
| 1649614553 | Gina Young | Social Worker | 401 Branard St, 2nd Floor, Houston, TX 77006-5015 | 2013-04-22 |
| 1477894434 | Gina Annette Young | Nurse Practitioner | 757 Westwood Plz, 5 Picu, Los Angeles, CA 90095-8358 | 2013-03-14 |
| 1952551020 | Gina N. Young | Counselor | 2201 Tuolumne St, Vallejo, CA 94589-2524 | 2008-09-25 |
| Street Address |
2430 NICOLLET AVE SOUTH WASHBURN CENTER FOR CHILDREN |
| City | MINNEAPOLIS |
| State | MN |
| Zip Code | 55404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992139661 | Lacey Gale | Social Worker | 2430 Nicollet Ave South, Washburn Center for Children, Minneapolis, MN 55404 | 2013-08-29 |
| 1710310172 | Heidi Ann Gajda | Counselor | 2430 Nicollet Ave South, Washburn Center for Children, Minneapolis, MN 55404 | 2013-08-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568062461 | Andrew Moe | Counselor | 2118 Blaisdell Ave S., Minneapolis, MN 55404 | 2020-10-29 |
| 1194368191 | Luz Angelica Fehn Salinas | Psychologist | 1315 E24th St, Minneapolis, MN 55404 | 2019-10-22 |
| 1760969125 | Bethany Karen Kenny | Registered Nurse | 910 E 26th St Ste 200, Minneapolis, MN 55404 | 2018-07-27 |
| 1225535701 | Karissa Dougherty | Nurse Practitioner | 2200 E Franklin Ave # 199, Minneapolis, MN 55404 | 2018-04-10 |
| 1891299491 | Guidance Home Health Care LLC | Home Health | 2529 Nicollet Avenue 202b, Minneapolis, MN 55404 | 2018-03-20 |
| 1770085490 | Bright Future Counseling Service, LLC | Counselor | 912 E. 24th St., Suite B215, Minneapolis, MN 55404 | 2018-03-08 |
| 1346754298 | Juba Pharmacy Inc | Pharmacy | 1926 Chicago Ave S, Minneapolis, MN 55404 | 2017-11-29 |
| 1629597323 | Kira Larson Fieldstrom | Social Worker | 2400 Blaisdell Ave., Minneapolis, MN 55404 | 2017-09-13 |
| 1770008930 | Nicole Lynn Sparks | Social Worker | 2445 Park Avenue, Minneapolis, MN 55404 | 2017-08-09 |
| 1639612765 | Cosmo Home Healthcare Services, L.L.C. | Home Health | 2219 Oakland Ave S, Suite 104, Minneapolis, MN 55404 | 2016-11-21 |
| Find all providers in zip 55404 | ||||
| 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 |
|---|---|---|---|---|
| 1154922102 | Alliance Development Center LLC | Community/Behavioral Health | 1545 E Lake St Ste 210, Minneapolis, MN 55407-1742 | 2020-11-05 |
| 1770180606 | Anishinaabe Endaad LLC | Community/Behavioral Health | 3027 Queen Ave N, Minneapolis, MN 55411-1060 | 2020-10-05 |
| 1427662543 | Autism Center for Education LLC | Community/Behavioral Health | 2021 E Hennepin Ave Ste 187, Minneapolis, MN 55413-2187 | 2020-09-04 |
| 1235743634 | Amolo House | Community/Behavioral Health | 3730 Fremont Ave N, Minneapolis, MN 55412-2014 | 2020-09-02 |
| 1689283772 | Raji Inc | Community/Behavioral Health | 2639 Nicollet Ave # 130, Minneapolis, MN 55408-1629 | 2020-07-24 |
| 1578188504 | Sound Connections Counseling | Community/Behavioral Health | 3747 Minnehaha Ave, Minneapolis, MN 55406-2857 | 2020-06-16 |
| 1285258111 | Recovery Alliance LLC | Community/Behavioral Health | 1421 Park Ave Ste 202, Minneapolis, MN 55404-1579 | 2020-06-06 |
| 1760015879 | Extended Health Services | Community/Behavioral Health | 1928 Portland Ave # S302, Minneapolis, MN 55404-3469 | 2020-02-17 |
| 1548800915 | Revive Roots, Pllc | Community/Behavioral Health | 3440 Portland Ave, Minneapolis, MN 55407-4861 | 2020-01-13 |
| 1477193944 | Leah Jacob Licsw LLC | Community/Behavioral Health | 100 W Franklin Ave Ste 301, Minneapolis, MN 55404-2446 | 2020-01-13 |
| Find all providers in MINNEAPOLIS | ||||
| City | MINNEAPOLIS |
| Zip Code | 55404 |
Please comment or provide details below to improve the information on GINA YOUNG.
| 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.