MS. KELLY MARIE YOUNG


Address: 201 Houston St Ste 104, Batavia, IL 60510-1960
Phone: 8154047589

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).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
IL 58620001 05

Other Providers KELLY YOUNG

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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

Office Location

Street Address 201 HOUSTON ST STE 104
City BATAVIA
State IL
Zip Code 60510-1960

Providers in the same zip code

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 Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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
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Competitor

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City BATAVIA
Zip Code 60510

Improve Information

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Dataset Information

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.

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