YOUTH VILLAGES (NPI# 1912125238) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912125238 |
| Entity Type | Organization |
| Organization Name | YOUTH VILLAGES |
| Practice Address |
5726 Marlin Rd Chattanooga TN 37411-4008 |
| Mailing Address |
300 E Brow Rd Lookout Mountain TN 37350-1212 |
| Practice Telephone | 4239548890 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JENNIFER GRACE LEA (FAMILY COUNSELOR) |
| Authorized Official Telephone | 4239548856 |
| Authorized Official Credential | M.A. |
| 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 |
5726 MARLIN RD |
| City | CHATTANOOGA |
| State | TN |
| Zip Code | 37411-4008 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013900729 | Jaffe Shoe Stores, Inc. | Prosthetic/Orthotic Supplier | 5726 Marlin Rd, Suite 512, Chattanooga, TN 37411-4008 | 2005-08-27 |
| 1013176429 | Kimberly Allen | Counselor | 5726 Marlin Rd, Franklin Building, Suite 200, Chattanooga, TN 37411-4008 | 2008-06-02 |
| 1447420021 | Professional Opticians | Eyewear Supplier (Equipment, not the service) | 5726 Marlin Rd, Ste 102, Chattanooga, TN 37411-4008 | 2008-03-10 |
| 1184808982 | Tamara A Jennings | Counselor | 5726 Marlin Rd, Franklin Building Suite 200, Chattanooga, TN 37411-4008 | 2007-12-28 |
| 1720284714 | Judy Kay Magnussen | Counselor | 5726 Marlin Rd, Franklin Building, Suite 200, Chattanooga, TN 37411-4008 | 2007-06-26 |
| 1093917825 | Youth Villages | Community/Behavioral Health | 5726 Marlin Rd, Franklin Building Suite 200, Chattanooga, TN 37411-4008 | 2007-06-04 |
| 1336341163 | Youth Villages | Community/Behavioral Health | 5726 Marlin Rd, Franklin Building, Suite 200, Chattanooga, TN 37411-4008 | 2007-06-04 |
| 1609093459 | Lorie Clark Summerlin | Counselor | 5726 Marlin Rd, Franklin Building Suite 200, Chattanooga, TN 37411-4008 | 2007-04-20 |
| 1760609614 | Tara Ann Blake | Counselor | 5726 Marlin Rd, Franklin Building, Suite 200, Chattanooga, TN 37411-4008 | 2007-04-20 |
| 1801013156 | Ladonna Kaye Guffey | Counselor | 5726 Marlin Rd, Franklin Bld. Suite 200, Chattanooga, TN 37411-4008 | 2007-04-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811520620 | Winzetta Jenkins | Social Worker | 5705 Uptain Rd., Chattanooga, TN 37411 | 2020-02-20 |
| 1881156651 | Valerie L Radu | Social Worker | 5800 Uptain Road, Suite 1200, Chattanooga, TN 37411 | 2019-04-02 |
| 1568986693 | Solution Transportation Services, Inc | Non-emergency Medical Transport (VAN) | 4707 North Terrace, Chattanooga, TN 37411 | 2017-07-31 |
| 1689060733 | Nirlepkumar Patel | Pharmacist | 3602 Brainerd Road, Chattanooga, TN 37411 | 2015-04-15 |
| 1669896254 | Audra Valentaviciene | Nurse Practitioner | 5618 Brainerd Road, Chattanooga, TN 37411 | 2014-02-18 |
| 1376973198 | Kelly Leigh Kennedy | Nurse Practitioner | 5600 Brainerd Road, Suite B14, Chattanooga, TN 37411 | 2013-11-14 |
| 1417210071 | Jason Owen Blair | Physical Therapy Assistant | 5779 Brainard Rd, Chattanooga, TN 37411 | 2012-06-19 |
| 1447532270 | Masons and Daughter LLC | Non-emergency Medical Transport (VAN) | 7 North Tuxedo Ave, Chattanooga, TN 37411 | 2011-09-19 |
| 1841500386 | Pamela Denise Stultz | Physical Therapy Assistant | 3207 Rosemont Drive, Chattanooga, TN 37411 | 2010-10-18 |
| 1689803843 | Pauline Evans | Occupational Therapy Assistant | 1557 Pin Oak Dr, Chattanooga, TN 37411 | 2009-07-09 |
| Find all providers in zip 37411 | ||||
| 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 |
|---|---|---|---|---|
| 1932745817 | Sound Living Inc | Community/Behavioral Health | 6727 Heritage Business Court, Suite 720, Chattanooga, TN 37421 | 2019-11-26 |
| 1609398312 | Advanced Behavioral-emotional Care Services, LLC. | Community/Behavioral Health | 200 W Ml King Blvd Ste 1000, Chattanooga, TN 37402-2571 | 2017-07-13 |
| 1992184634 | Tyronda Wilkerson | Community/Behavioral Health | 621 Memorial Dr Apt 1903, Chattanooga, TN 37415-5528 | 2015-05-27 |
| 1316343650 | Caring Hands & Open Hearts, LLC | Community/Behavioral Health | 5751 Uptain Rd Ste 105, Chattanooga, TN 37411-5671 | 2014-11-14 |
| 1639420417 | Ctr. for Individual & Family Effectiveness | Community/Behavioral Health | 310 E. 8th St., Ste. C, Chattanooga, TN 37403 | 2012-09-20 |
| 1467708594 | Ctr. for Individ. & Family Effectiveness | Community/Behavioral Health | 2441 Broad St., Ste. 150, Chattanooga, TN 37408 | 2012-07-26 |
| 1609196799 | Hamilton County Health Dept | Community/Behavioral Health | 921 E Third St, Chattanooga, TN 37403 | 2010-06-11 |
| 1912134057 | Fortwood Center, Inc. | Community/Behavioral Health | 1400 Bailey Ave, Chattanooga, TN 37404-2903 | 2009-06-16 |
| 1881821056 | Fortwood Center, Inc. | Community/Behavioral Health | 1411 Bailey Ave, Chattanooga, TN 37404-2904 | 2009-06-16 |
| 1366679409 | Fortwood Center, Inc. | Community/Behavioral Health | 1508 Old Ringgold Rd, Chattanooga, TN 37404-5444 | 2009-06-16 |
| Find all providers in CHATTANOOGA | ||||
| City | CHATTANOOGA |
| Zip Code | 37411 |
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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.