YOUTH VILLAGES (NPI# 1790151611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790151611 |
| Entity Type | Organization |
| Organization Name | YOUTH VILLAGES |
| Practice Address |
363 Church St N 200 Concord NC 28025-4589 |
| Practice Telephone | 7042621360 |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2015-08-14 |
| Authorized Official Name | JASMINE LUSTER (MST FAMILY COUNSELOR) |
| Authorized Official Telephone | 7042621360 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801198502 | Youth Villages | In Home Supportive Care | 101 Government Ave Sw Ste 300, Hickory, NC 28602-2936 | 2010-12-01 |
| 1316170475 | Youth Villages | Community/Behavioral Health | 100 Capitola Dr Ste 310, Durham, NC 27713-4497 | 2009-08-24 |
| 1932372463 | Youth Villages | Community/Behavioral Health | 93 Nance Ln Apt C8, Nashville, TN 37210-4341 | 2008-04-04 |
| 1245432251 | Youth Villages | Community/Behavioral Health | 5726 Marlin Rd., Ste. 200, Chattanooga, TN 37411 | 2007-06-01 |
| 1649480930 | Youth Villages | Community/Behavioral Health | 1504 County Road 402, Houston, MS 38851-8201 | 2007-05-23 |
| 1376763961 | Youth Villages | Community/Behavioral Health | 47 Key Corner Rd, Halls, TN 38040-5051 | 2007-04-26 |
| 1740729490 | Youth Villages | Community/Behavioral Health | 2507 Christie Dr., Lake Oswego, OR 97034 | 2017-02-14 |
| 1992243992 | Youth Villages | Clinic/Center | 2507 Christie Dr, Lake Oswego, OR 97034 | 2017-02-09 |
| 1154867364 | Youth Villages | Community/Behavioral Health | 2313 Executive Cir Ste C, Greenville, NC 27834-3744 | 2017-01-11 |
| 1003350257 | Youth Villages | Community/Behavioral Health | 2659 Sw 4th St, Suite 102, Redmond, OR 97756-6406 | 2016-12-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | YOUTH VILLAGES ASSOCIATION | 102 23rd Ave Sw, Puyallup, WA 98373 |
| Oklahoma Business Registrations | YOUTH VILLAGES FOUNDATION, INC. | C/o Arms 3675 Crestwood Pkwy Ste 350, Duluth, GA 30096 |
| Colorado Business Entities | Youth Villages Inc. | 3320 Brothers Blvd., Memphis, TN 38133 |
| Virginia Business Entities | Youth Villages Inc. | 3320 Brother Blvd, Memphis, Tennessee 38133 |
| New York State Corporations | YOUTH VILLAGES INC. | Suite 204, 25 Robert Pitt Drive, Monsey, Ny 10952 |
| Washington State Corporations | YOUTH VILLAGES, INC. | 3320 Brother Blvd, Memphis, TN 38133-8950 |
| Oregon Corporations, Companies and Business Names | YOUTH VILLAGES, INC. | 3320 Brother Blvd, Memphis, TN 38133 |
| Oklahoma Business Registrations | YOUTH VILLAGES, INC. | 3320 Brother Blvd, Memphis, TN 38133 |
| Massachusetts Corporations | YOUTH VILLAGES, INC. | 3320 Brother Blvd., Memphis, TN 38133 |
| Indiana Business Entities | YOUTH VILLAGES, INC. | 3675 Crestwood Parkway, Ste 350, Duluth, GA 30096 |
| Street Address |
363 CHURCH ST N 200 |
| City | CONCORD |
| State | NC |
| Zip Code | 28025-4589 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972874832 | Christopher Peters | Counselor | 363 Church St N, Concord, NC 28025-4589 | 2012-01-24 |
| 1629444542 | Jennifer Deaton | Counselor | 363 Church St N, Concord, NC 28025-4589 | 2015-08-14 |
| 1467834184 | Elite Too Home Health Care, Inc | Respite Care | 363 Church St N, Suite 280-j, Concord, NC 28025-4589 | 2015-06-19 |
| 1376924654 | Hometown Hearing Center | Point of Service | 363 Church St N, Suite 260-d, Concord, NC 28025-4589 | 2015-06-12 |
| 1891197802 | Megan Kennedy | Counselor | 363 Church St N, Concord, NC 28025-4589 | 2014-09-22 |
| 1437566031 | Amanda Prentice | Social Worker | 363 Church St N, Suite 200, Concord, NC 28025-4589 | 2014-07-15 |
| 1871907758 | Codi Robinson | Counselor | 363 Church St N, Concord, NC 28025-4589 | 2014-06-18 |
| 1437498755 | Felicia Harvey | Counselor | 363 Church St N, 200, Concord, NC 28025-4589 | 2013-02-06 |
| 1215275557 | Nancy Dieujuste-suarez | Counselor | 363 Church St N, Concord, NC 28025-4589 | 2013-01-22 |
| 1124362843 | Angel Sherriece Epps | Counselor | 363 Church St N, Concord, NC 28025-4589 | 2012-11-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053910729 | Renewed Mindset Therapeutic Services, Pllc | Social Worker | 349 Copperfield Blvd Suite L #334, Concord, NC 28025 | 2020-10-22 |
| 1194284380 | Carolinas Physicians Network Inc | Internal Medicine | 610 Alfred Brown Jr. Court, Concord, NC 28025 | 2019-03-18 |
| 1164913596 | Damarius Raymond Faggart | Counselor | 503 Amhurst Drive, Concord, NC 28025 | 2018-05-22 |
| 1437677085 | Kathryn Emily Kanauer | Counselor | 280 Executive Park Dr Ne, Concord, NC 28025 | 2017-09-05 |
| 1649794439 | Foster Health & Homecare, LLC | Home Health | 363 Church Street North, Suite 260-i, Concord, NC 28025 | 2017-08-02 |
| 1326569336 | Jessie Leigh Tilley-compton | Social Worker | 371 Amhurst St Sw, Concord, NC 28025 | 2017-06-29 |
| 1609305663 | Sarah Katherine Thompson | Licensed Practical Nurse | 248 Executive Park Dr, Concord, NC 28025 | 2017-06-05 |
| 1023463098 | Kiera Brown | Social Worker | 219 Lephillip Court, Concord, NC 28025 | 2016-04-27 |
| 1992169445 | Brittiny N. Ingram Vanterpool | Counselor | 250 Branchview Dr Sw, Concord, NC 28025 | 2016-04-11 |
| 1215399852 | The Charlotte-mecklenburg Hospital Authority | Clinic/Center | 840 Warren C. Coleman Blvd, Concord, NC 28025 | 2016-03-23 |
| Find all providers in zip 28025 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568928349 | Vida for Autism, LLC | Community/Behavioral Health | 2613 Richard Ave, Concord, CA 94520-4737 | 2019-02-16 |
| 1356821433 | Anka Behavioral Health Incorporated | Community/Behavioral Health | 1470 Civic Ct Ste 100, Concord, CA 94520-5290 | 2018-08-17 |
| 1003332693 | Monarch | Community/Behavioral Health | 354 Spring St Sw, Concord, NC 28025-5041 | 2017-08-16 |
| 1902333636 | Diana's Homecare, Inc | Community/Behavioral Health | 616 Samuel Adams Cir Sw, Concord, NC 28027-0133 | 2017-05-12 |
| 1013460211 | 1st Step Recovery Services LLC | Community/Behavioral Health | 10912 Mccamie Hill Pl, Concord, NC 28025-9153 | 2016-07-25 |
| 1003265869 | Milestones of North Carolina | Community/Behavioral Health | 84 Church St Ne, Concord, NC 28025-4757 | 2016-06-11 |
| 1720437924 | First Place for Youth | Community/Behavioral Health | 2702 Clayton Rd Ste 207, Concord, CA 94519-2747 | 2016-06-08 |
| 1407216377 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 82 Union St S, Ste D, Concord, NC 28025-5061 | 2016-03-04 |
| 1831578160 | Rising Hope Clinical Assistance LLC | Community/Behavioral Health | 7 Todd Dr Ne, Concord, NC 28025-3132 | 2015-05-19 |
| 1053736744 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 2355 Whitman Rd Ste F, Concord, CA 94518 | 2014-03-04 |
| Find all providers in CONCORD | ||||
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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.