AMY MARIE VON KENNEN (NPI# 1366958803) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366958803 |
| Entity Type | Individual |
| Full Name | AMY MARIE VON KENNEN |
| Other Name | AMY MARIE HARRELL |
| Credential | CDCA |
| Practice Address |
2151 Rush Blvd Youngstown OH 44507 |
| Mailing Address |
2151 Rush Blvd Youngstown OH 44507-1535 |
| Practice Telephone | 3307441181 |
| Mailing Telephone | 3307441181 |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2018-07-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.165543 | OH | Behavioral Health & Social Service Providers |
| Street Address |
2151 RUSH BLVD |
| City | YOUNGSTOWN |
| State | OH |
| Zip Code | 44507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033111406 | Youngstown Committee On Alcoholism | Clinic/Center | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2005-08-15 |
| 1619582376 | Shaqualah Renee Johnson | Substance Abuse Rehabilitation Facility | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2020-09-10 |
| 1972115012 | Sara Beth Phlieger | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2020-08-19 |
| 1154946465 | Candace Janae Bryant | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2020-06-11 |
| 1649814336 | Keiasia Love | Registered Nurse | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2019-11-05 |
| 1831732643 | Chaunice Taylor | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2019-10-24 |
| 1376185603 | Steven Morales | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2019-10-08 |
| 1285283069 | Erica Rybak | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2019-09-05 |
| 1053966697 | Stacey Fleming | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2019-08-08 |
| 1750934642 | Melissa Boyle | Counselor | 2151 Rush Blvd, Youngstown, OH 44507-1535 | 2019-07-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114406451 | Ashley L Moody | Home Health Aide | 3330 Hillman St, Youngstown, OH 44507 | 2018-08-08 |
| 1184142432 | Felicia Briggs | Counselor | 2151 Rush Blvd., Youngstown, OH 44507 | 2017-09-07 |
| 1558881474 | Pamela Lynn Wargo | Substance Abuse Rehabilitation Facility | 2151 Rush Boulevard, Youngstown, OH 44507 | 2017-06-21 |
| 1235677592 | Jocelyn Wilson | Residential Treatment Facility, Emotionally Disturbed Children | 182 Midlothian Ave, Youngstown, OH 44507 | 2017-02-07 |
| 1306218771 | Horizon Science Academy Youngstown | Local Education Agency (LEA) | 3403 Southern Blvd, Youngstown, OH 44507 | 2015-10-26 |
| 1780890400 | Sandra Kaye Stroughter | Home Health Aide | 3531 Hillman St., Apt 221, Youngstown, OH 44507 | 2007-05-16 |
| 1215158217 | Jessie Martin | Licensed Practical Nurse | 29 E. Philadelphia, Youngstown, OH 44507 | 2007-05-01 |
| 1003847930 | Daniel Raymond Armeni | Dentist | 242 E Midlothian Blvd, Youngstown, OH 44507 | 2006-07-06 |
| 1740251131 | Rebecca S Hughes | Registered Nurse | 77 E Midlothian Blvd, Youngstown, OH 44507 | 2006-02-01 |
| 1184288292 | Safe Ride A&s Transportation | Non-emergency Medical Transport (VAN) | 3330 Hillman St, Youngstown, OH 44507 | 2019-04-24 |
| Find all providers in zip 44507 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669071023 | Tyra S Rice | Counselor | 25 W Rayen Ave Apt 503, Youngstown, OH 44503-1022 | 2020-10-18 |
| 1538771282 | Faith Marie Palmer | Counselor | 2703 Mahoning Ave Ste 105, Youngstown, OH 44509-2337 | 2020-08-22 |
| 1245895119 | Clinton Lynch | Counselor | 506 E Liberty St, Youngstown, OH 44505-1544 | 2019-05-07 |
| 1760047187 | Norman L Carter | Counselor | 108 W Indianola Ave, Youngstown, OH 44507-1459 | 2019-05-02 |
| 1043791825 | Jessica Marie Glandorf | Counselor | 1185 Townsend Ave, Youngstown, OH 44505-1267 | 2018-08-28 |
| 1194204933 | Nicole Marie Campana | Counselor | 2217 Lyon Blvd, Youngstown, OH 44514-1568 | 2018-08-13 |
| 1417442112 | Melanie J King | Counselor | 555 S Hazelwood Ave, Youngstown, OH 44509-2231 | 2018-06-25 |
| 1922590173 | Bonnie Warrington | Counselor | 344 Broadview Ave, Youngstown, OH 44509-1149 | 2018-06-04 |
| 1013418508 | Angel Olivia Pixley | Counselor | 881 Rose St, Youngstown, OH 44506-1431 | 2018-02-21 |
| 1184142432 | Felicia Briggs | Counselor | 2151 Rush Blvd., Youngstown, OH 44507 | 2017-09-07 |
| Find all providers in YOUNGSTOWN | ||||
| City | YOUNGSTOWN |
| Zip Code | 44507 |
Please comment or provide details below to improve the information on AMY MARIE VON KENNEN.
| 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.