KENNETH YOUNG (NPI# 1386179802) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386179802 |
| Entity Type | Individual |
| Full Name | KENNETH YOUNG |
| Credential | CDCA |
| Practice Address |
169 Mansfield Ave Shelby OH 44875-1832 |
| Mailing Address |
341 Stadium St Mansfield OH 44906-2543 |
| Practice Telephone | 4192929211 |
| Mailing Telephone | 5675607713 |
| Enumeration Date | 2017-04-21 |
| Last Update Date | 2017-04-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
CDCA.161465 | OH | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699381095 | Kenneth Young | Marriage & Family Therapist | 37 Sturgis Rd, Edison, NJ 08817-4039 | 2020-09-21 |
| 1265673578 | Kenneth Young | Massage Therapist | 607 S Alexander St, Plant City, FL 33563-5053 | 2009-03-16 |
| 1437150067 | Kenneth A Young | Family Medicine | 8523 Madison Ave, Suite A, Indianapolis, IN 46227-6115 | 2005-08-04 |
| 1689041287 | Kenneth Young | Physical Therapist | 3838 50th St, Lubbock, TX 79413-3808 | 2015-08-31 |
| 1376957258 | Kenneth Young Jr. | Emergency Medicine | 5841 S. Maryland Ave. Mc 5068, University of Chicago Section of Emergency Medicine, Chicago, IL 60637-9997 | 2014-06-18 |
| 1083927917 | Kenneth Ray Young Jr. | Psychologist | 12301 Whitewater Dr Ste 101, Minnetonka, MN 55343-4157 | 2010-07-20 |
| 1972742112 | Kenneth George Young | Social Worker | 1818 Market St, Philadelphia, PA 19103-3638 | 2009-02-11 |
| 1932346442 | Kenneth Young | Rehabilitation Practitioner | 9650 Zelzah Ave, Northridge, CA 91325-2003 | 2009-01-21 |
| 1770732190 | Kenneth Scott Young | Physical Therapist | 244 E 84th St, 3rd Floor, New York, NY 10028-2904 | 2008-09-10 |
| 1578779575 | Kenneth Marvin Young | Dentist | 1 Rockefeller Plz, 2229, New York, NY 10020-2003 | 2007-05-15 |
| Street Address |
169 MANSFIELD AVE |
| City | SHELBY |
| State | OH |
| Zip Code | 44875-1832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619517117 | Rebecca Slick | Counselor | 169 Mansfield Ave, Shelby, OH 44875-1832 | 2020-01-13 |
| 1164070520 | Stephanie Ann Guenther | Counselor | 169 Mansfield Ave, Shelby, OH 44875-1832 | 2019-08-29 |
| 1093203499 | Margaret Mary Rundag | Counselor | 169 Mansfield Ave, Shelby, OH 44875-1832 | 2018-05-01 |
| 1538673389 | Molly Perkins | Counselor | 169 Mansfield Ave, Shelby, OH 44875-1832 | 2017-11-30 |
| 1801300918 | Haley Goth | Counselor | 169 Mansfield Ave, Shelby, OH 44875-1832 | 2017-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962999755 | Michael Lee Mason | Counselor | 2779 St. Rt. 39, Shelby, OH 44875 | 2018-04-17 |
| 1336646009 | Toia Branklin | Counselor | 2779 St Rt 39, Shelby, OH 44875 | 2018-04-10 |
| 1801397138 | Stephanie L Kamp | Social Worker | 29 Steele Ave, Shelby, OH 44875 | 2018-02-22 |
| 1164956744 | Brandy Brown | Licensed Practical Nurse | 2775 St. Rt. 39, Shelby, OH 44875 | 2017-04-20 |
| 1306229281 | Spencer Blevins | Specialist/Technologist | 7025 State Route 61 N, Shelby, OH 44875 | 2015-07-09 |
| 1194141150 | Karen Rittenhouse | Occupational Therapist | 109 Auburn Ave., Auburn Elementary, Shelby, OH 44875 | 2014-03-13 |
| 1467877100 | Adrianne Stumbo | Licensed Practical Nurse | 2708 Holtz Rd, Shelby, OH 44875 | 2014-03-04 |
| 1730452608 | Amy Marie Weiner | Community Health Worker | 225 West Main Street, Shelby, OH 44875 | 2012-02-22 |
| 1093038218 | Susan K Mcfarland | Licensed Practical Nurse | 77 Grand Blvd Ext, Shelby, OH 44875 | 2010-03-02 |
| 1427289362 | Mary Catherine Finnegan | Physical Therapy Assistant | 60 Grand Blvd Apt 1, Shelby, OH 44875 | 2009-07-27 |
| Find all providers in zip 44875 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962999755 | Michael Lee Mason | Counselor | 2779 St. Rt. 39, Shelby, OH 44875 | 2018-04-17 |
| 1336646009 | Toia Branklin | Counselor | 2779 St Rt 39, Shelby, OH 44875 | 2018-04-10 |
| 1790200541 | Robin Lynn Laine | Counselor | 529 Park Ave, Shelby, MT 59474-2131 | 2017-08-12 |
| 1659895977 | Hope Billings | Counselor | 501 N Lafayette St, Shelby, NC 28150-4476 | 2017-07-28 |
| 1184166944 | Collette Scruggs | Counselor | 200-2 South Post Road, Shelby, NC 28152 | 2016-11-10 |
| 1851763957 | Kathy Sue Allen | Counselor | 941 E Marion St, Shelby, NC 28150-4740 | 2015-10-28 |
| 1144512872 | Sydney M Phipps | Counselor | 1201 S Post Rd # 100, Shelby, NC 28152 | 2011-05-13 |
| 1023250636 | Robert Andrew Mccully Jr. | Counselor | 1243 E Dixon Blvd, Shelby, NC 28152-6978 | 2009-03-27 |
| 1962653873 | Professional Care LLC | Counselor | 320 E Graham St, Suite 1, Shelby, NC 28150-5568 | 2008-10-09 |
| 1366699449 | Piedmont Behavioral Resources, Inc. | Counselor | 201 W. Marion St. Ste. 207, Shelby, NC 28150 | 2008-08-20 |
| Find all providers in SHELBY | ||||
Please comment or provide details below to improve the information on KENNETH 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.