RAY YOUNG (NPI# 1700292158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700292158 |
| Entity Type | Individual |
| Full Name | RAY YOUNG |
| Credential | LPC |
| Practice Address |
6153 W Olive Ave Glendale AZ 85302-4564 |
| Mailing Address |
3003 N Central Ave Suite 200 Phoenix AZ 85012-2902 |
| Practice Telephone | 6026856000 |
| Practice Fax Number | 6239372589 |
| Mailing Telephone | 6023027715 |
| Mailing Fax Number | 6023027925 |
| Enumeration Date | 2014-07-07 |
| Last Update Date | 2016-11-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC-15995 | AZ | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 169825 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376871053 | Ray Young | Case Manager/Care Coordinator | 602 Sw 38th St, Lawton, OK 73505-6912 | 2009-11-18 |
| 1366530479 | Ray Young | Surgery | 2495 Shreveport Highway, Alexandria Va Medical Center, Alexandria, LA 71306-9004 | 2006-10-11 |
| Street Address |
6153 W OLIVE AVE |
| City | GLENDALE |
| State | AZ |
| Zip Code | 85302-4564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821049800 | Robert James Allen | Family Medicine | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2006-05-13 |
| 1982240040 | Leslie Billings | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2019-11-25 |
| 1124677802 | Jessica Shetzen | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2019-09-05 |
| 1396237640 | Troy Riutta | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2018-06-02 |
| 1629575683 | Christina Elliott | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2018-04-06 |
| 1982064515 | Todd Robert Shorten | Nurse Practitioner | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2016-02-24 |
| 1164817987 | Valerie P Jackson | Social Worker | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2015-03-30 |
| 1972919397 | Susan Kinkel | Marriage & Family Therapist | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2014-07-07 |
| 1073953659 | Mireya J Roe | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2013-06-27 |
| 1104266782 | Kirstin Yates | Counselor | 6153 W Olive Ave, Glendale, AZ 85302-4564 | 2013-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235736190 | Tyler Davis LLC | Psychologist | 8607 N 59th Ave Suite C-6, Glendale, AZ 85302 | 2020-10-05 |
| 1679098420 | Sidney M Kingery | Physical Therapist | 5810 W Peoria Ave, Glendale, AZ 85302 | 2017-08-12 |
| 1255877825 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 5651 W. Harmont Dr, Glendale, AZ 85302 | 2017-01-06 |
| 1346696382 | Megan Mari Byrne | Chiropractor | 8425 N 61st Dr., Glendale, AZ 85302 | 2016-05-09 |
| 1558742007 | Farzan Mojgani | Dentist | 5929 W. Peoria Ave. Suite 101, Glendale, AZ 85302 | 2015-06-10 |
| 1255757308 | Glendale Modern Dentistry, LLP | Dentist | 5143 West Olive Ave, Suite 140, Glendale, AZ 85302 | 2014-03-13 |
| 1518391341 | Crystal Nicole-marie Whitman | Physical Therapy Assistant | 5411 W. Cinnabar Ave., Glendale, AZ 85302 | 2013-08-28 |
| 1013349570 | A New Leaf | Clinic/Center | 8581 N 61st Ave, Building A, Suite 101-102, Glendale, AZ 85302 | 2013-08-06 |
| 1255602439 | Alicia S Fennemore | Specialist/Technologist | 352 E. Camelback Rd., Suite 102, Phoenix, AZ 85302 | 2012-01-20 |
| 1639306731 | Total Medical Care, LLC | Clinic/Center | 5048 W. Northern Avenue, Suite 105, Glendale, AZ 85302 | 2009-06-16 |
| Find all providers in zip 85302 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467066027 | Michelle Kayla Williams | Counselor | 7121 W Bell Rd # 115, Glendale, AZ 85308-8555 | 2020-09-01 |
| 1083228613 | Rosalie Salazar | Counselor | 17505 N 79th Ave Ste 311, Glendale, AZ 85308-8730 | 2020-09-01 |
| 1225675820 | New Way Counseling and Consulting | Counselor | 17505 N 79th Ave Ste D-213, Glendale, AZ 85308-8725 | 2019-12-03 |
| 1457994014 | Jeremy Shoemaker | Counselor | 5546 W Desert Cove Ave, Glendale, AZ 85304-3841 | 2019-10-25 |
| 1033764410 | Marie Chuldzhyan | Counselor | 730 S Central Ave Ste 203, Glendale, CA 91204-4342 | 2019-08-02 |
| 1861050817 | Georgette Mcnally | Counselor | 6655 W Glendale Ave, Glendale, AZ 85301-2358 | 2019-06-04 |
| 1497312318 | Tawny Nicole White Runnels | Counselor | 6635 W Happy Valley Rd Ste A104-148, Glendale, AZ 85310-2609 | 2019-05-27 |
| 1336706944 | Kathryn Mcclearn | Counselor | 19201 N 45th Dr, Glendale, AZ 85308-5415 | 2019-05-20 |
| 1700341005 | Diana Steiner | Counselor | 18301 N 79th Ave Ste F168, Glendale, AZ 85308-6045 | 2019-01-31 |
| 1861986200 | Pamela Morgan | Counselor | 1220 Oak Circle Dr, Glendale, CA 91208-1106 | 2018-06-19 |
| Find all providers in GLENDALE | ||||
Please comment or provide details below to improve the information on RAY YOUNG.
| 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.