AMY MARIE VON KENNEN


Address: 2151 Rush Blvd, Youngstown, OH 44507
Phone: 3307441181

AMY MARIE VON KENNEN (NPI# 1366958803) 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) 1366958803
Entity Type Individual
Full Name AMY MARIE VON KENNEN
Other Name AMY MARIE HARRELL
Credential CDCA
Practice Address 2151 Rush Blvd
Youngstown
OH 44507
Mailing Address 2151 Rush Blvd
Youngstown
OH 44507-1535
Practice Telephone 3307441181
Mailing Telephone 3307441181
Enumeration Date 2017-12-20
Last Update Date 2018-07-11
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)
CDCA.165543 OH Behavioral Health & Social Service Providers

Office Location

Street Address 2151 RUSH BLVD
City YOUNGSTOWN
State OH
Zip Code 44507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033111406 Youngstown Committee On Alcoholism Clinic/Center 2151 Rush Blvd, Youngstown, OH 44507-1535 2005-08-15
1619582376 Shaqualah Renee Johnson Substance Abuse Rehabilitation Facility 2151 Rush Blvd, Youngstown, OH 44507-1535 2020-09-10
1972115012 Sara Beth Phlieger Counselor 2151 Rush Blvd, Youngstown, OH 44507-1535 2020-08-19
1154946465 Candace Janae Bryant Counselor 2151 Rush Blvd, Youngstown, OH 44507-1535 2020-06-11
1649814336 Keiasia Love Registered Nurse 2151 Rush Blvd, Youngstown, OH 44507-1535 2019-11-05
1831732643 Chaunice Taylor Counselor 2151 Rush Blvd, Youngstown, OH 44507-1535 2019-10-24
1376185603 Steven Morales Counselor 2151 Rush Blvd, Youngstown, OH 44507-1535 2019-10-08
1285283069 Erica Rybak Counselor 2151 Rush Blvd, Youngstown, OH 44507-1535 2019-09-05
1053966697 Stacey Fleming Counselor 2151 Rush Blvd, Youngstown, OH 44507-1535 2019-08-08
1750934642 Melissa Boyle Counselor 2151 Rush Blvd, Youngstown, OH 44507-1535 2019-07-19
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114406451 Ashley L Moody Home Health Aide 3330 Hillman St, Youngstown, OH 44507 2018-08-08
1184142432 Felicia Briggs Counselor 2151 Rush Blvd., Youngstown, OH 44507 2017-09-07
1558881474 Pamela Lynn Wargo Substance Abuse Rehabilitation Facility 2151 Rush Boulevard, Youngstown, OH 44507 2017-06-21
1235677592 Jocelyn Wilson Residential Treatment Facility, Emotionally Disturbed Children 182 Midlothian Ave, Youngstown, OH 44507 2017-02-07
1306218771 Horizon Science Academy Youngstown Local Education Agency (LEA) 3403 Southern Blvd, Youngstown, OH 44507 2015-10-26
1780890400 Sandra Kaye Stroughter Home Health Aide 3531 Hillman St., Apt 221, Youngstown, OH 44507 2007-05-16
1215158217 Jessie Martin Licensed Practical Nurse 29 E. Philadelphia, Youngstown, OH 44507 2007-05-01
1003847930 Daniel Raymond Armeni Dentist 242 E Midlothian Blvd, Youngstown, OH 44507 2006-07-06
1740251131 Rebecca S Hughes Registered Nurse 77 E Midlothian Blvd, Youngstown, OH 44507 2006-02-01
1184288292 Safe Ride A&s Transportation Non-emergency Medical Transport (VAN) 3330 Hillman St, Youngstown, OH 44507 2019-04-24
Find all providers in zip 44507

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
1669071023 Tyra S Rice Counselor 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 2020-10-18
1538771282 Faith Marie Palmer Counselor 2703 Mahoning Ave Ste 105, Youngstown, OH 44509-2337 2020-08-22
1245895119 Clinton Lynch Counselor 506 E Liberty St, Youngstown, OH 44505-1544 2019-05-07
1760047187 Norman L Carter Counselor 108 W Indianola Ave, Youngstown, OH 44507-1459 2019-05-02
1043791825 Jessica Marie Glandorf Counselor 1185 Townsend Ave, Youngstown, OH 44505-1267 2018-08-28
1194204933 Nicole Marie Campana Counselor 2217 Lyon Blvd, Youngstown, OH 44514-1568 2018-08-13
1417442112 Melanie J King Counselor 555 S Hazelwood Ave, Youngstown, OH 44509-2231 2018-06-25
1922590173 Bonnie Warrington Counselor 344 Broadview Ave, Youngstown, OH 44509-1149 2018-06-04
1013418508 Angel Olivia Pixley Counselor 881 Rose St, Youngstown, OH 44506-1431 2018-02-21
1184142432 Felicia Briggs Counselor 2151 Rush Blvd., Youngstown, OH 44507 2017-09-07
Find all providers in YOUNGSTOWN

Competitor

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City YOUNGSTOWN
Zip Code 44507

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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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