MICHELE YOUNG (NPI# 1396213070) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396213070 |
| Entity Type | Individual |
| Full Name | MICHELE YOUNG |
| Practice Address |
2421 13th St Nw Canton OH 44708-3116 |
| Mailing Address |
5982 Rhodes Rd Kent OH 44240-8100 |
| Practice Telephone | 3304526000 |
| Practice Fax Number | 3304523875 |
| Mailing Telephone | 3306731347 |
| Mailing Fax Number | 3306783677 |
| Enumeration Date | 2018-11-11 |
| Last Update Date | 2018-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 175T00000X | Peer Specialist | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962998492 | Michele Young | Nurse Practitioner | 9295 Rachel Dr, Wonder Lake, IL 60097-8181 | 2018-07-09 |
| 1740553916 | Michele Ann-marie Young | Licensed Practical Nurse | 524 Clinton Ave, Rockville Center, NY 11570 | 2012-02-17 |
| 1316104383 | Michele D Young | Physician Assistant | 3802 Oakwater Cir Ste 3, Orlando, FL 32806-6200 | 2008-05-19 |
| 1306963046 | Michele Katherine Young | Nurse Practitioner | 2320 S Seacrest Blvd Ste 300, Boynton Beach, FL 33435-6516 | 2007-03-26 |
| 1720156292 | Michele Young | Social Worker | 6186 Birkewood Rd, Huntington, WV 25705-2202 | 2006-12-01 |
| 1265451512 | Michele Margaret Young | Occupational Therapist | 38 Kaneohe Bay Dr, Kailua, HI 96734-1747 | 2006-07-18 |
| 1245853050 | Michele Denise Young | Counselor | 700 Four Mile Pkwy, Canon City, CO 81212-9114 | 2020-05-27 |
| 1073910501 | Michele Young | Registered Nurse | 9201 E Mountain View Rd, Suite 220, Scottsdale, AZ 85258-5199 | 2014-11-26 |
| 1861757734 | Michele L Young | Physician Assistant | 7243 Della Dr, Orlando, FL 32819-5104 | 2012-07-06 |
| 1790980126 | Michele S Young | Nurse Practitioner | 2601 Gene George Blvd, Springdale, AR 72762-0845 | 2007-06-16 |
| Street Address |
2421 13TH ST NW |
| City | CANTON |
| State | OH |
| Zip Code | 44708-3116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679682736 | Cynthia L Daugherty | Counselor | 2421 13th St Nw, Canton, OH 44708-3116 | 2006-08-30 |
| 1073110664 | Juliana Pondur | Registered Nurse | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-10-06 |
| 1487265930 | Raymond Neal Menefee | Licensed Practical Nurse | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-08-10 |
| 1609493766 | Samantha Clare May | Case Manager/Care Coordinator | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-07-06 |
| 1083231146 | Lindsey Ann Breitfeller | Social Worker | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-07-06 |
| 1053933283 | Midge Ann Clark | Licensed Practical Nurse | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-05-11 |
| 1932729837 | Latoya Hicks-gooden | Licensed Practical Nurse | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-04-21 |
| 1528694908 | Chantel Dominique Stewart | Licensed Practical Nurse | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-03-18 |
| 1154952448 | Jessica A Eicher | Counselor | 2421 13th St Nw, Canton, OH 44708-3116 | 2020-01-27 |
| 1881237915 | Charletta Ann Gibbs | Case Manager/Care Coordinator | 2421 13th St Nw, Canton, OH 44708-3116 | 2019-10-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669072583 | Xl Developmental Services, Inc. | Home Health | 4403 19th St Nw, Canton, OH 44708 | 2020-10-29 |
| 1942827084 | Emily Glor | Dentist | 1320 Mercy Drive Northwest, Attn: Dental Services, Canton, OH 44708 | 2020-07-05 |
| 1811479009 | Linda Adams | Counselor | 2421 13th Street Nw, Canton, OH 44708 | 2018-09-04 |
| 1104308527 | Toreka Lishay Miller | Social Worker | 2421 13th Nw, Canton, OH 44708 | 2018-09-01 |
| 1679051213 | Edward Arthur Hill | Family Medicine | 6104 Cedar Lane Nw, Canton, OH 44708 | 2018-08-06 |
| 1467939371 | Kristen M Reardon | Registered Nurse | 1330 Mercy Dr Nw Ste 319, Canton, OH 44708 | 2018-07-24 |
| 1538659131 | Jeffrey Scott Mechtenberg | Chiropractor | 3410 Tuscarawas Street W, Canton, OH 44708 | 2018-05-18 |
| 1699284844 | Our Caring Hands Home Care, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3005 W. Tuscuswas St, Canton, OH 44708 | 2017-09-20 |
| 1528580933 | Elizabeth Ann Bonchek | Licensed Practical Nurse | 4550 Hills and Dales Nw Road, Canton, OH 44708 | 2017-07-07 |
| 1518315837 | Bio-medical Applications of Ohio, Inc. | Clinic/Center | 2835 Tuscarawas St. West, Canton, OH 44708 | 2016-05-26 |
| Find all providers in zip 44708 | ||||
| Taxonomy Code | 175T00000X |
| Grouping | Other Service Providers |
| Classification | Peer Specialist |
| Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. |
| Notes: Source: National Uniform Claim Committee [7/1/2014: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093350068 | Marc A Walker | Peer Specialist | 3311 12th St Nw, Canton, OH 44708-3909 | 2019-11-13 |
| 1114569506 | Nicole Herndon | Peer Specialist | 1114 Gonder Ave Se, Canton, OH 44707-3300 | 2019-10-17 |
| 1588138390 | Angela Rhoad | Peer Specialist | Coleman Professional Services 400 Tuscarawas St W., Canton, OH 44702 | 2019-01-15 |
| 1851864144 | Jennifer Kathleen Shannon | Peer Specialist | 2945 Willowrow Ave Ne, Canton, OH 44705-3612 | 2019-01-09 |
| 1861962599 | Darnella L Jenkins | Peer Specialist | 2306 Crown Pl Nw, Canton, OH 44708-4420 | 2018-11-26 |
| 1396229027 | Michelle Lois Stackhouse | Peer Specialist | 5736 East Blvd Nw, Canton, OH 44718-1655 | 2018-09-19 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| 1427656354 | Aaron Schreffler | Peer Specialist | 401 Tuscarawas St W Ste 501, Canton, OH 44702-2045 | 2020-10-13 |
| 1659985158 | Tracy Hart | Peer Specialist | 80 State Highway 310 Ste 1, Canton, NY 13617-1493 | 2020-09-02 |
| 1790309581 | Jamaine Thomas Atkins Sr. | Peer Specialist | 50430 School House Rd, Canton, MI 48187-5910 | 2020-06-08 |
| Find all providers in CANTON | ||||
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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.