JENNIFER YOUNG (NPI# 1659762573) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659762573 |
| Entity Type | Individual |
| Full Name | JENNIFER YOUNG |
| Practice Address |
8887 Cr 647s Bushnell FL 33513-7435 |
| Practice Telephone | 8132520813 |
| Mailing Telephone | 8132520813 |
| Enumeration Date | 2015-02-13 |
| Last Update Date | 2020-10-01 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
ADC-010479-2015 | FL | Behavioral Health & Social Service Providers |
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
MH13395 | FL | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659970663 | Jennifer Young | Counselor | 3490 Us Highway 1 Ste 11, Princeton, NJ 08540-5920 | 2020-10-21 |
| 1083236467 | Jennifer Young | Speech-Language Pathologist | 145 Parkside Ave, Manchester, NH 03102-3603 | 2020-05-08 |
| 1366083297 | Jennifer Robin Young | Technician | 60 Sherman Ave, Mansfield, OH 44906 | 2019-10-02 |
| 1629518428 | Jennifer L Young | Physical Therapist | 12822 Del Corso Loop, Bradenton, FL 34211-8434 | 2017-02-28 |
| 1689125510 | Jennifer Young | Assistant Behavior Analyst | 2000 Cheatham Dam Rd, Charlotte, TN 37036-5033 | 2016-10-15 |
| 1336528389 | Jennifer Susan Young | Counselor | 503 Natoma St, Folsom, CA 95630-2523 | 2015-05-22 |
| 1760887178 | Jennifer Young | Nurse's Aide | 10546 Clairdoan Ave, Cleveland, OH 44108-1310 | 2014-10-28 |
| 1306181144 | Jennifer Lyn Young | Registered Nurse | 801 Trail Road, Sedro Woolley, WA 98284-8563 | 2012-12-05 |
| 1093063380 | Jennifer Ellen Young | Physician Assistant | 2301 S Clear Creek Rd Ste 206, Killeen, TX 76549-4119 | 2012-08-17 |
| 1689942138 | Jennifer Ann Young | Social Worker | 673 Mohegan Cir, Cantonment, FL 32533-5634 | 2011-12-12 |
| Street Address |
8887 CR 647S |
| City | BUSHNELL |
| State | FL |
| Zip Code | 33513-7435 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619465481 | Crystal Wallace Goddin | Physical Therapy Assistant | 1104 N Main St, Bushnell, Fl, Bushnell, FL 33513 | 2018-04-27 |
| 1255836920 | Anton Dawson | Behavior Technician | 2310 Cr 615, Bushnell, FL 33513 | 2018-03-26 |
| 1942728431 | Carolyn Sue Guarino | Licensed Practical Nurse | 10306 S.w. 53rd Terr., Bushnell, FL 33513 | 2017-09-05 |
| 1326321258 | Edith Marie Evans | Case Manager/Care Coordinator | 2891 C.r. 615b, Bushnell, FL 33513 | 2011-09-27 |
| 1144478439 | Emma J Ridley | Pharmacist | Sumter Oaks Park, 4602 Couny Rd. 673, #14107, Bushnell, FL 33513 | 2008-08-29 |
| 1205083268 | Diana K Mullin | Day Training, Developmentally Disabled Services | 9325 Cr 622 G, Bushnell, FL 33513 | 2008-08-21 |
| 1467625202 | Amy's Caring Hands | Day Training, Developmentally Disabled Services | 1612 W County Road 476, Bushnell, FL 33513 | 2008-04-11 |
| 1821212952 | Stuart J Kaufman Md & Assoc Pa | Ophthalmology | 1814 West Cr 48, Bushnell, FL 33513 | 2007-04-12 |
| 1740201128 | Winn Dixie Stores Inc | Durable Medical Equipment & Medical Supplies | 1122 N Main St, Bushnell, FL 33513 | 2006-07-21 |
| 1184688947 | Florida Department of Health | Public Health or Welfare | 415 E Noble Ave, Bushnell, FL 33513 | 2006-04-17 |
| Find all providers in zip 33513 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952969537 | Quanta Glover | Counselor | 119 N Market St, Bushnell, FL 33513-6107 | 2019-05-30 |
| 1659602092 | Gary R. Pickering | Counselor | 106 S Main St, Bushnell, FL 33513-7306 | 2010-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457161 | Jenna Grace Mallek Campos | Counselor | 13626 Phoenix Dr, Orlando, FL 32828-9338 | 2020-11-07 |
| 1295336089 | Resilience Behavioral Health LLC | Counselor | 3211 Calumet Dr, Orlando, FL 32810-2023 | 2020-11-06 |
| 1538760392 | Darcy Lynn Coleman | Counselor | 325 Se 28th Ter, Cape Coral, FL 33904-3416 | 2020-11-06 |
| 1407457203 | Marylon Larkins | Counselor | 1525 W Broadway St, Oviedo, FL 32765-6576 | 2020-11-06 |
| 1639770423 | Nickole Marguerite Wyse | Counselor | 7901 4th St N Ste 4000, St Petersburg, FL 33702-4305 | 2020-11-06 |
| 1275134066 | Hyacinth Anne Morgan | Counselor | 1001 W Cypress Creek Rd Ste 302s, Fort Lauderdale, FL 33309-1950 | 2020-11-06 |
| 1245831288 | John Lopez IIi | Counselor | 3024 Smith Ave, Bradenton, FL 34207-5558 | 2020-11-05 |
| 1326649435 | Taylor Shannon Wolfe | Counselor | 8312 Catria Ln, Lake Worth, FL 33467-6706 | 2020-11-04 |
| 1427659630 | Sherrie Wade | Counselor | 260 Ne Wavecrest Way, Boca Raton, FL 33432-4220 | 2020-11-04 |
| 1396346656 | Ariel K Heyliger St. Fleur | Counselor | 9104 Nw 39th St, Coral Springs, FL 33065-2421 | 2020-11-03 |
| 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.