KSA YOUTH FOUNDATION INC. (NPI# 1447723176) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447723176 |
| Entity Type | Organization |
| Organization Name | KSA YOUTH FOUNDATION INC. |
| Practice Address |
7600 Osler Dr Ste 105 Towson MD 21204-7705 |
| Mailing Address |
Po Box 703 Accokeek MD 20607-0703 |
| Practice Telephone | 2407664194 |
| Practice Fax Number | 3014850363 |
| Mailing Telephone | 2407664194 |
| Mailing Fax Number | 3014850363 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | KATRINA WILKINS-JACKSON (CEO) |
| Authorized Official Telephone | 2407664194 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| A plus Counseling Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922568435 | Ksa Youth Foundation Inc. | Clinic/Center | 10351 Southern Maryland Blvd Ste 101, Dunkirk, MD 20754-9510 | 2019-03-21 |
| 1720551450 | Ksa Youth Foundation Inc. | Clinic/Center | 2829 Chesapeake Beach Rd W, Dunkirk, MD 20754-9526 | 2019-01-04 |
| 1598267700 | Ksa Youth Foundation Inc. | Counselor | 10903 Indian Head Hwy Ste 504, Fort Washington, MD 20744-4012 | 2018-03-03 |
| 1770052409 | Ksa Youth Foundation Inc. | Non-emergency Medical Transport (VAN) | 10903 Indian Head Hwy Ste 504, Fort Washington, MD 20744-4012 | 2018-11-26 |
| 1013483023 | Ksa Youth Foundation Inc. | Registered Nurse | 10903 Indian Head Hwy Ste 504, Fort Washington, MD 20744-4012 | 2018-10-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | KSA Youth Foundation Inc. | 17806 Merino Drive, Accokeek, Maryland 20607 |
| Street Address |
7600 OSLER DR STE 105 |
| City | TOWSON |
| State | MD |
| Zip Code | 21204-7705 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588119341 | Maryland Functional Medicine Center, Inc | Chiropractor | 7600 Osler Dr Ste 105, Towson, MD 21204 | 2016-08-23 |
| 1548827348 | Best Care, Inc | Nurse Practitioner | 7600 Osler Dr Ste 105, Towson, MD 21204-7705 | 2019-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194347575 | Sheppard Pratt Non Contracted Services, LLC | Psychiatry & Neurology | 6525 N. Charles Street, Gibson Building, Towson, MD 21204 | 2020-05-08 |
| 1578104428 | Debra James | Counselor | 6901 N. Charles Street, Towson, MD 21204 | 2019-10-02 |
| 1235696808 | Sarita Hinton | Social Worker | 300 Allegheny Ave Ste 101, Baltimore, MD 21204 | 2019-03-01 |
| 1952883159 | Peace,llc | Social Worker | 304 W. Chesapeake Ave, Towson, MD 21204 | 2018-09-04 |
| 1841772654 | Hannah Kimberly Jefferson | Acupuncturist | 7407 York Road, Towson, MD 21204 | 2018-08-29 |
| 1699255216 | Samantha Ann Rogers | Nurse Practitioner | 222 Bosley Avenue, Suite C3, Towson, MD 21204 | 2018-08-14 |
| 1750867560 | Angela Michelle Hester | Nurse Practitioner | 6525 N Charles St #085, Towson, MD 21204 | 2018-07-15 |
| 1043729098 | Communication Apptitude Inc. | Speech-Language Pathologist | 7400 York Road, Suite 231, Towson, MD 21204 | 2017-09-21 |
| 1679090203 | Brian Dougherty | Acupuncturist | 800 Kenilworth Dr, Ste# 828, Towson, MD 21204 | 2017-08-24 |
| 1659891976 | Erin Mcgovern | Specialist/Technologist | Towson Sports Medicine 8322 Bellona Ave, Suite Number 100, Baltimore, MD 21204 | 2017-06-27 |
| Find all providers in zip 21204 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467882878 | Polaris Recovery Center LLC | Clinic/Center | 8600 Lasalle Rd., Suite 212, Towson, MD 21286 | 2013-11-21 |
| 1063623783 | Towson University Counseling Center | Clinic/Center | Counseling Ctr, Towson University, Towson, MD 21252-0001 | 2007-05-24 |
| 1275155335 | Kolmac Clinic, LLC | Clinic/Center | 6525 N Charles St Ste 85, Towson, MD 21204-6872 | 2020-05-12 |
| 1548819659 | Matclinic Physicians Practice Group LLC | Clinic/Center | 40 York Rd Ste 201, Towson, MD 21204-5243 | 2019-09-11 |
| 1144236977 | Partners In Recovery | Clinic/Center | 6525 N Charles St, Gibson Building, Towson, MD 21204-6872 | 2006-08-01 |
| 1679533905 | First Step, Inc | Clinic/Center | 7801 York Rd, Suite 203, Towson, MD 21204-7446 | 2006-03-23 |
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| 1851998892 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 2648 Guilford Ave Apt 2fl, Baltimore, MD 21218-4611 | 2020-10-02 |
| 1801403324 | Maryland Community Health Initiatives, Inc. | Clinic/Center | 328 E 26th St, Baltimore, MD 21218-4702 | 2020-09-29 |
| 1275148975 | Hel Recovery Center | Clinic/Center | 1900 N Howard St Fl 2, Baltimore, MD 21218-5909 | 2020-09-10 |
| 1497365654 | Inspiring Change Mental Health Services, LLC. | Clinic/Center | 4654 York Rd Ste 1, Baltimore, MD 21212-4726 | 2020-08-03 |
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| 1134738909 | Sabinas House LLC | Clinic/Center | 2224 Dukeland St, Baltimore, MD 21216-2812 | 2020-07-28 |
| 1881203792 | Sabinas House LLC | Clinic/Center | 3325 Shannon Dr, Baltimore, MD 21213-1823 | 2020-07-27 |
| 1356950265 | Sabinas House LLC | Clinic/Center | 616 Wildwood Pkwy, Baltimore, MD 21229-1810 | 2020-07-27 |
| 1598374407 | Sabinas House LLC | Clinic/Center | 605 Springfield Ave, Baltimore, MD 21212-4832 | 2020-07-27 |
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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.