LEADING YOUTH THROUGH EXPERIENCE, LLC (NPI# 1417444076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417444076 |
| Entity Type | Organization |
| Organization Name | LEADING YOUTH THROUGH EXPERIENCE, LLC |
| Practice Address |
2 Arrowhead Ct Freehold NJ 07728-9577 |
| Practice Telephone | 7324583201 |
| Practice Fax Number | 7324583269 |
| Mailing Telephone | 7324583201 |
| Mailing Fax Number | 7324583269 |
| Enumeration Date | 2018-04-19 |
| Last Update Date | 2018-04-19 |
| Authorized Official Name | JASON MARK ROSENBERG (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 7324583201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 172V00000X | Community Health Worker | Other Service Providers | ||
| N | 222Q00000X | Developmental Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 103TM1800X |
Psychologist Specialization: Mental Retardation & Developmental Disabilities |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NJ | 1225240633 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225240633 | Leading Youth Through Experience, LLC | Community/Behavioral Health | 448 19th Ave, Brick, NJ 08724 | 2007-05-06 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LEADING YOUTH THROUGH EXPERIENCE, LLC | 2 Arrowhead Ct, Freehold, NJ 07728-9577 |
| Street Address |
2 ARROWHEAD CT |
| City | FREEHOLD |
| State | NJ |
| Zip Code | 07728-9577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831663756 | Lauren Tenenbaum | Social Worker | 2 Arrowhead Ct, Freehold, NJ 07728-9577 | 2019-01-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851935837 | Rehability Sports Medicine, LLC | Acupuncturist | 83 South St. Ste 204, Freehold, NJ 07728 | 2019-11-01 |
| 1205488038 | P.a.l.m.s. Providing Alternative Lines of Movement Services LLC | Social Worker | 32-6 Turner Rd, Freehold, NJ 07728 | 2019-07-11 |
| 1962983015 | Cynthia Espinosa | Behavioral Analyst | 906 Nj State Route 33 Business, Freehold, NJ 07728 | 2018-08-27 |
| 1841780087 | Planet Therapies | Social Worker | 4 E Main St Ste 2, Freehold, NJ 07728 | 2018-05-14 |
| 1861998627 | Surgical Specialists of Central Nj, LLC | Surgery | 901 W Main St Ste 106, Freehold, NJ 07728 | 2018-04-02 |
| 1386158426 | Clinical Care, LLC | Social Worker | 115 Spruce Street, Freehold, NJ 07728 | 2017-11-28 |
| 1992227565 | Ashley Taylor Kravitz | Dietitian, Registered | 12 Christie Lane, Freehold, NJ 07728 | 2017-07-14 |
| 1326568429 | The Jewish Home for Rehabilitation and Nursing Inc. | Skilled Nursing Facility | 1151 West Main St, Freehold, NJ 07728 | 2017-06-21 |
| 1518497551 | Spine and Sports Rehab Group of Nj | Physical Medicine & Rehabilitation | 210 Mounts Corner Dr, Freehold, NJ 07728 | 2017-06-13 |
| 1841724697 | The Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 Havensbridge Road, Farmingdale, NJ 07728 | 2017-04-19 |
| Find all providers in zip 07728 | ||||
| Taxonomy Code | 103TM1800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Mental Retardation & Developmental Disabilities |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558996694 | Michael A Jacobs | Psychologist | 711 Marys Dr, Brick, NJ 08723-4213 | 2020-03-10 |
| 1033756648 | Rising Stars Aba LLC | Psychologist | 3 Trudy Ln, Lakewood, NJ 08701-4675 | 2019-12-02 |
| 1598307068 | A Helping Hand Services Inc. | Psychologist | 208 Brandywine Dr., Williamstown, NJ 08094 | 2019-10-16 |
| 1407413297 | Khadija Fofana | Psychologist | 122 Girard Ave, Somerset, NJ 08873-2417 | 2019-05-28 |
| 1598247603 | Lasheima Jefferson | Psychologist | 650 Park Ave Apt 218, East Orange, NJ 07017-1578 | 2018-09-05 |
| 1366973455 | Stacieann Jones | Psychologist | 10 Sandstone Ln, Willingboro, NJ 08046-2004 | 2017-03-21 |
| 1407391022 | Marva Mcintosh | Psychologist | 112 Arbor Dr, Swedesboro, NJ 08085-5050 | 2017-01-05 |
| 1336697614 | Comprehensive Care Network, Ltd Liability Co. | Psychologist | 172 Broadway Rear Building, Woodcliff Lake, NJ 07677-8077 | 2016-09-15 |
| 1295103927 | Vanessa Checo | Psychologist | 940 Flora St, Elizabeth, NJ 07201-1914 | 2015-09-11 |
| 1447671102 | Patricia Louise Irwin | Psychologist | 150 Salem Woodstown Road, Salem, NJ 08079-0005 | 2013-12-26 |
| Find all providers with the same taxonomy | ||||
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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.