JENNIFER YOUNG (NPI# 1033621453) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033621453 |
| Entity Type | Individual |
| Full Name | JENNIFER YOUNG |
| Practice Address |
450 Winn Way Decatur GA 30030-1715 |
| Mailing Address |
445 Winn Way Decatur GA 30030-1707 |
| Practice Telephone | 4042943745 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2017-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
LPC006508 | GA | 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 |
| 1659762573 | Jennifer Young | Counselor | 8887 Cr 647s, Bushnell, FL 33513-7435 | 2015-02-13 |
| 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 |
| Street Address |
450 WINN WAY |
| City | DECATUR |
| State | GA |
| Zip Code | 30030-1715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922142108 | Dekalb Community Service Board | Community/Behavioral Health | 450 Winn Way, Decatur, GA 30030-1715 | 2007-02-19 |
| 1386130078 | James Cabble | Social Worker | 450 Winn Way, Decatur, GA 30030-1715 | 2018-07-05 |
| 1528426178 | Jessica Brown | Counselor | 450 Winn Way, Decatur, GA 30030-1715 | 2016-02-10 |
| 1508106873 | Sabo Uba | Clinical Nurse Specialist | 450 Winn Way, Decatur, GA 30030-1715 | 2013-02-25 |
| 1174800072 | Shashank Kumar Jha | Nurse Practitioner | 450 Winn Way, Decatur, GA 30030-1715 | 2011-11-07 |
| 1720212616 | Nancy A Ruffin | Registered Nurse | 450 Winn Way, Decatur, GA 30030-1715 | 2009-05-07 |
| 1952544041 | Helenie Keyamo Davis | Registered Nurse | 450 Winn Way, Decatur, GA 30030-1715 | 2009-04-20 |
| 1316185374 | Lorraine D Corley | Social Worker | 450 Winn Way, Decatur, GA 30030-1715 | 2009-01-29 |
| 1346411899 | Sara R Grimsley | Pharmacist | 450 Winn Way, Decatur, GA 30030-1715 | 2008-03-12 |
| 1912111790 | Robert James Sevick | Registered Nurse | 450 Winn Way, Decatur, GA 30030-1715 | 2007-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
| 1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
| 1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
| 1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
| 1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
| 1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
| 1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
| 1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
| Find all providers in zip 30030 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598363392 | Kimberly Swanson | Counselor | 311 West Hill Street, Decatur, GA 30030-4319 | 2020-10-14 |
| 1083228050 | Lasonja D Carter | Counselor | 2920 Frost Dr Sw, Decatur, AL 35603-4531 | 2020-09-07 |
| 1154935468 | Nick Hersey | Counselor | 1924 Clairmont Rd Ste 50, Decatur, GA 30033-3450 | 2020-09-03 |
| 1760095814 | Potters Touch Counseling Inc. | Counselor | 4150 Snapfinger Woods Dr Ste 100, Decatur, GA 30035-3417 | 2020-08-28 |
| 1407464563 | Starre Cannon | Counselor | 3183 Tarian Way, Decatur, GA 30034-5539 | 2020-07-15 |
| 1164040713 | Bethany Cecelia Merrett | Counselor | 223 Kathryn Ave, Decatur, GA 30030-5017 | 2020-07-09 |
| 1053939090 | Virtue Speaks LLC | Counselor | 4150 Snapfinger Woods Dr Ste 104d, Decatur, GA 30035-3417 | 2020-07-07 |
| 1821619842 | Knitikia Gross | Counselor | 436 Eastwyck Cir, Decatur, GA 30032-6694 | 2020-04-30 |
| 1063033074 | Marcy Renee Jefferson-watkins | Counselor | 2126 6th Ave Se Ste 208, Decatur, AL 35601-6547 | 2020-04-30 |
| 1790304004 | Tonia D Morris | Counselor | 3006 Western Sunset Ct, Decatur, GA 30034-1692 | 2020-04-16 |
| Find all providers in DECATUR | ||||
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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.