SANDRA IRENE YOUNG (NPI# 1811241763) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811241763 |
| Entity Type | Individual |
| Full Name | SANDRA IRENE YOUNG |
| Credential | LPC |
| Practice Address |
271 Clarkson Executive Park Ellisville MO 63011-2173 |
| Practice Telephone | 6362066169 |
| Mailing Telephone | 6362066169 |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2020-07-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP1600X |
Counselor Specialization: Pastoral |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
2011040293 | MO | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760991731 | Sandra Catrice Young | Licensed Vocational Nurse | 5750 N Major Drive # 201, Beaumont, TX 77713-9025 | 2017-09-21 |
| 1720269129 | Sandra Carol Young | Licensed Practical Nurse | 28765 Westfall Rd, Williamsport, OH 43164-9611 | 2007-11-14 |
| 1649326745 | Sandra Kay Young | Registered Nurse | 6801 E Oak St, Scottsdale, AZ 85257-2037 | 2007-01-25 |
| 1598758146 | Sandra Young | Family Medicine | 1234 Commercial St Se, Salem, OR 97302-4204 | 2005-08-30 |
| 1427607845 | Sandra Diane Young | Marriage & Family Therapist | 44447 10th St W, Lancaster, CA 93534-3324 | 2019-09-09 |
| 1174013437 | Sandra Marlyn Young | Nurse Practitioner | 1825 Eastchester Rd, Bronx, NY 10461-2301 | 2018-05-12 |
| 1134636152 | Sandra C Young | Counselor | 3036 Ne Mlk Jr Blvd, Portland, OR 97212-3053 | 2017-12-30 |
| 1326495631 | Sandra Young | Nurse Practitioner | 1163 Pittsford Victor Rd, Pittsford, NY 14534-3835 | 2016-05-17 |
| 1710345251 | Sandra Young | Pharmacist | 1 Jarrett White Rd, Tripler Army Medical Center, HI 96859-5001 | 2016-01-28 |
| 1740682731 | Sandra Young | Counselor | 770 Woodlane Rd, Westampton, NJ 08060-3804 | 2014-09-22 |
| Street Address |
271 CLARKSON EXECUTIVE PARK |
| City | ELLISVILLE |
| State | MO |
| Zip Code | 63011-2173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205309234 | Heather Renee Leone | Nurse Practitioner | 452 Sovereign Court Suite A, Ballwin, MO 63011 | 2019-01-02 |
| 1538635297 | Jennifer Lea Nicole O'donnell | Registered Nurse | 13861 Manchester Road, Town and Country, MO 63011 | 2018-10-22 |
| 1285127712 | Genevieve Friedmann | Social Worker | 301 Sovereign Ct Ste 103, Ballwin, MO 63011 | 2018-06-09 |
| 1881187391 | Andrew Cittadino Link | Dentist | 14335 Manchester Road, Ballwin, MO 63011 | 2018-06-08 |
| 1972041283 | Anavan LLC | Durable Medical Equipment & Medical Supplies | 14390 Manchester Rd, Saint Louis, MO 63011 | 2017-02-07 |
| 1780131300 | Autism and Behavioral Spectrum LLC | Day Training, Developmentally Disabled Services | 14733 Clayton Road, Chesterfield, MO 63011 | 2016-09-01 |
| 1265872964 | Eryn Nichole Miner | Behavioral Analyst | 15834 Clayton Road, Ellisville, MO 63011 | 2013-06-27 |
| 1194168765 | Donna Margaret Carrillo | Developmental Therapist | 15834 Clayton Rd., Ellisville, MO 63011 | 2013-04-12 |
| 1891047486 | Ashley Amanda Battaglia | Chiropractor | 15945 Clayton Rd Ste 230c, Ballwin, MO 63011 | 2012-10-08 |
| 1750658480 | Gary Frank Sobocinski | Pharmacist | 4033 Sovereign Court, Ballwin, MO 63011 | 2011-11-23 |
| Find all providers in zip 63011 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861844698 | Kelly Larkin | Counselor | 811 Corvallis Ct., Ellisville, MO 63021-4767 | 2016-07-05 |
| 1912939224 | Cynthia N Webster | Counselor | 116 Clarkson Executive Park, Ellisville, MO 63011 | 2006-07-07 |
| 1851388946 | David G Guckes | Counselor | 300 Ozark Trail Dr, Suite 226, Ellisville, MO 63011-2166 | 2005-10-04 |
| 1427575836 | Wanda Parker | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-25 |
| 1720504004 | Audrey Mccullum | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-17 |
| 1821514662 | Tina Hawkins | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-14 |
| 1407372261 | Tracie Miller | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-08-14 |
| 1871017046 | Lasha Bayless | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-07-31 |
| 1790209971 | Pam Dennis | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2017-07-31 |
| 1376942441 | Debra Long | Counselor | 5192 Highway 11 N, Ellisville, MS 39437-5050 | 2014-08-14 |
| Find all providers in ELLISVILLE | ||||
| City | ELLISVILLE |
| Zip Code | 63011 |
Please comment or provide details below to improve the information on SANDRA IRENE 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.