YOUTH VILLAGES (NPI# 1245455757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245455757 |
| Entity Type | Organization |
| Organization Name | YOUTH VILLAGES |
| Practice Address |
3915 Bristol Hwy Ste 202 Johnson City TN 37601-1401 |
| Practice Telephone | 4232836503 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MISS AMBER ELAINE MORELOCK (FAMILY COUNSELOR) |
| Authorized Official Telephone | 4232836503 |
| 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 |
| 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 |
| Street Address |
3915 BRISTOL HWY STE 202 |
| City | JOHNSON CITY |
| State | TN |
| Zip Code | 37601-1401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285776609 | Sarah Leigh Gardner | Counselor | 3915 Bristol Hwy Ste 202, Johnson City, TN 37601-1401 | 2007-02-13 |
| 1396924080 | Tracy Eiswert | Counselor | 3915 Bristol Hwy Ste 202, Johnson City, TN 37601-1401 | 2007-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396381992 | Juan Carlos Simon Villegas Gomez | Specialist/Technologist | 1081 John Robert Bell Dr, Johnson City, TN 37601 | 2019-11-19 |
| 1629537279 | Jaima Suzanne Price | Hearing Instrument Specialist | 106 E Watauga Avenue, Johnson City, TN 37601 | 2019-03-13 |
| 1275004467 | Brittany Howell | Speech-Language Pathologist | 2114 E. Fairview Ave, Johnson City, TN 37601 | 2018-12-16 |
| 1194229948 | Heather Chantel Lester | Physical Therapist | 2114 E. Fairview Avenue, Johnson City, TN 37601 | 2018-03-19 |
| 1477061869 | Patrick Conway Reynolds | Specialist/Technologist | 1081 John Robert Bell Drive, Johnson City, TN 37601 | 2018-01-19 |
| 1790201135 | Surgical Services of East Tennessee PC | Surgery | 300 East Main St., Suite 301, Johnson City, TN 37601 | 2017-08-17 |
| 1073065694 | Davina Leah Reppond | Home Health | 1204 E Myrtle Ave, Johnsoncity, TN 37601 | 2016-10-31 |
| 1003365503 | Wendi Y Minutolo | Behavioral Analyst | 403 Princeton Rd Ste 3, Johnson City, TN 37601 | 2016-09-25 |
| 1306208798 | Rachel Anne Anderson | Nurse Practitioner | 1118 East Holston Avenue, Johnson City, TN 37601 | 2016-03-24 |
| 1932560976 | Kaydee Louise Davidson | Occupational Therapist | 3209 Bristol Highway, Johnson City, TN 37601 | 2016-03-18 |
| Find all providers in zip 37601 | ||||
| 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 |
|---|---|---|---|---|
| 1174005276 | Frontier Health | Community/Behavioral Health | 210 Quarry Rd, Johnson City, TN 37601-7580 | 2018-09-05 |
| 1811433444 | Premier Service of Carolina, Inc | Community/Behavioral Health | 207 N Boone St Ste 300, Johnson City, TN 37604-5675 | 2017-01-06 |
| 1407280225 | Southern Tier Special Needs Resources LLC | Community/Behavioral Health | 38 Margaret St, Johnson City, NY 13790-3016 | 2013-08-28 |
| 1548387939 | Appalachian Behavior Support Services, LLC | Community/Behavioral Health | 1561 Colony Park Dr, Johnson City, TN 37604-7183 | 2007-03-23 |
| 1316552060 | Tranquil Jc, LLC | Community/Behavioral Health | 2700 S Roan St Ste 212, Johnson City, TN 37601-7557 | 2020-09-10 |
| 1699110692 | Linked Community Services | Community/Behavioral Health | 2514 Wesley St, Suite 102, Johnson City, TN 37601-1764 | 2013-05-03 |
| 1487992939 | Vista Recovery Systems, Inc | Community/Behavioral Health | 3114 Browns Mill Rd, Johnson City, TN 37604-1417 | 2013-01-17 |
| 1073872776 | Etsu Behavioral Health and Wellness Clinic | Community/Behavioral Health | 807 University Pkwy, 139 Lucille Clement Hall, Johnson City, TN 37614-6500 | 2012-05-15 |
| 1861700742 | Holly Davis Counseling and Consultation, Pllc | Community/Behavioral Health | 2700 S Roan St, Suite 205, Johnson City, TN 37601-7556 | 2010-09-14 |
| 1093998213 | Youth Villages | Community/Behavioral Health | 3915 Bristol Hwy, Suite 202, Johnson City, TN 37601-1400 | 2007-12-11 |
| Find all providers in JOHNSON CITY | ||||
| City | JOHNSON CITY |
| Zip Code | 37601 |
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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.