MS. KELLY MARIE YOUNG (NPI# 1306144167) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1306144167 |
Entity Type | Individual |
Full Name | MS. KELLY MARIE YOUNG |
Credential | CADC,MISA |
Practice Address |
201 Houston St Ste 104 Batavia IL 60510-1960 |
Practice Telephone | 8154047589 |
Practice Fax Number | 6304543507 |
Mailing Telephone | 8154047589 |
Mailing Fax Number | 6304543507 |
Enumeration Date | 2011-03-03 |
Last Update Date | 2018-12-20 |
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) |
28739 | IL | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | 58620001 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063058600 | Kelly Young | Registered Nurse | 501 Howard Ave Ste D, Altoona, PA 16601-4810 | 2019-11-19 |
1861842700 | Kelly Michelle Young | Physician Assistant | 2424 Erwin Rd Ste 201, Durham, NC 27705-3825 | 2016-06-21 |
1508216631 | Kelly Young | Marriage & Family Therapist | 7350 Heritage Village Plz Unit 102, Gainesville, VA 20155-3085 | 2016-06-20 |
1013394865 | Kelly Ann Young | Dietitian, Registered | 1380 El Cajon Blvd, El Cajon, CA 92020-5703 | 2015-04-30 |
1164736641 | Kelly Young | Physical Therapy Assistant | 396 Lake Nepessing Rd., Lapeer, MI 48446-2910 | 2010-07-27 |
1922246099 | Kelly Young | Social Worker | 3140 Tarrant Ln, Plano, TX 75025-5291 | 2009-01-28 |
1265682801 | Kelly Shannon Young | Physical Therapist | 1151 Robeson Street, Fall River, MA 02720-5566 | 2008-09-19 |
1851598833 | Kelly Elizabeth Young | Dentist | 2005 Saint Charles St Ste 5, Jasper, IN 47546-9146 | 2007-07-02 |
1053924423 | Kelly Lee Young | Technician | 87 Swierkos Dr, Moundsville, WV 26041-4209 | 2020-08-26 |
1598381121 | Kelly Young | Behavior Technician | 5175 Old Clemmons School Road, Winston Salem, NC 27102 | 2020-06-19 |
Street Address |
201 HOUSTON ST STE 104 |
City | BATAVIA |
State | IL |
Zip Code | 60510-1960 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326523101 | Maria Witte | Specialist/Technologist | 1316 Cherry Dr, Batavia, IL 60510 | 2018-09-27 |
1740768902 | Anna Cannone | Speech-Language Pathologist | 1501 S Raddant Rd, Batavia, IL 60510 | 2018-07-31 |
1770071565 | Amber August-gilio | Registered Nurse | 1116 Schiedler Dr., Batavia, IL 60510 | 2018-04-26 |
1356865323 | Emily Shiffler | Specialist/Technologist | 1345 Clybourne St, Batavia, IL 60510 | 2017-08-01 |
1720537657 | Go Kid Go Therapy Services, LLC | Physical Therapist | 131 Flinn Street, Suite A, Batavia, IL 60510 | 2016-10-04 |
1992122337 | Pacer Dental P.C. | Clinic/Center | 853 North Randall Road, Batavia, IL 60510 | 2014-03-24 |
1396176988 | Jody Marie Kanikula | Social Worker | 439 Elizabeth St, Batavia, IL 60510 | 2013-12-06 |
1295087765 | Therese Marie White | Social Worker | 37 W 950 Heaton Drive, Batavia, IL 60510 | 2012-10-09 |
1619252491 | Debra Joy Herron | Massage Therapist | 462 Manchester Ave., Batavia, IL 60510 | 2011-10-12 |
1861780363 | Mary Lather | Speech-Language Pathologist | 1260 Averill Dr, Batavia, IL 60510 | 2011-07-18 |
Find all providers in zip 60510 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689234486 | Mary Elizabeth Linz | Counselor | 4650 State Route 222, Batavia, OH 45103 | 2019-06-14 |
1992168579 | Kellie Luley | Counselor | 4560 State Route 222, Batavia, OH 45103-9778 | 2016-04-01 |
1942663844 | Scott Stacy | Counselor | 1088 Wasserman Way Ste C, Batavia, OH 45103-1974 | 2016-03-30 |
1750791026 | Cathy Jo Vanderpool | Counselor | 4428 State Route 222, Batavia, OH 45103-9777 | 2014-05-07 |
1811197924 | Bruce Edward Baker | Counselor | 430 East Main St., Batavia, NY 14020 | 2007-07-18 |
1396353272 | Nicole Wagner | Counselor | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2020-07-16 |
1689205189 | Jessica Griffith | Counselor | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2020-02-03 |
1063072759 | Diamond Lee Amber Blevins | Counselor | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2019-06-16 |
1215402854 | Hannah Marie Calvert | Counselor | 4428 State Route 222, Batavia, OH 45103-9777 | 2018-10-10 |
1043709470 | Alexis Deatherage | Counselor | 1100 Hospital Dr, Batavia, OH 45103-1920 | 2018-05-01 |
Find all providers in BATAVIA |
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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.