YOUR HEALTH NETWORK, INC. (NPI# 1659769024) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659769024 |
| Entity Type | Organization |
| Organization Name | YOUR HEALTH NETWORK, INC. |
| Other Organization Name | EVERGREEN HEALTH CARE |
| Practice Address |
9710 Patuxent Woods Dr Suite 200 Columbia MD 21046-1526 |
| Mailing Address |
3000 Falls Rd Suite 1 Baltimore MD 21211-2474 |
| Practice Telephone | 3015758080 |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-01-07 |
| Authorized Official Name | JESSICA L KOHNEN (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4434514973 |
| Is Organization Subpart | Y |
| Parent Organization Name | YOUR HEALTH NETWORK, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 5354021 | 05 |
| Other Name | Type Code |
|---|---|
| Evergreen Health Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992134738 | Your Health Network, Inc. | Family Medicine | 3000 Falls Rd, Suite 1, Baltimore, MD 21211-2435 | 2013-11-02 |
| 1841688215 | Your Health Network, Inc. | Counselor | 7939 Honeygo Blvd, Building 3, Suite 127, Nottingham, MD 21236-4931 | 2015-01-07 |
| 1194113563 | Your Health Network, Inc. | Counselor | 7501 Greenway Center Dr, Building 3, Suite 600, Greenbelt, MD 20770-3514 | 2015-01-07 |
| 1669860151 | Your Health Network, Inc. | Counselor | 733 W 40th St, Suite 200, Baltimore, MD 21211-2112 | 2015-01-06 |
| 1033517255 | Your Health Network, Inc. | Family Medicine | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2014-12-22 |
| 1114325339 | Your Health Network, Inc. | Family Medicine | 7501 Greenway Center Dr, Suite 600, Greenbelt, MD 20770-3514 | 2014-12-22 |
| 1366840589 | Your Health Network, Inc. | Family Medicine | 733 W 40th St, Suite 200, Baltimore, MD 21211-2112 | 2014-12-22 |
| 1407254626 | Your Health Network, Inc. | Family Medicine | 7939 Honeygo Blvd, Building 3, Suite 127, Nottingham, MD 21236-4931 | 2014-12-22 |
| Street Address |
9710 PATUXENT WOODS DR SUITE 200 |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046-1526 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346236775 | Melissa Aviva Clark | Family Medicine | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2005-09-21 |
| 1144718792 | Premier Health Express and Advanced Diagnostics Inc | Clinic/Center | 9710 Patuxent Woods Dr, Columbia, MD 21046-1526 | 2018-04-30 |
| 1720520810 | Your Health Network | Clinic/Center | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2016-11-07 |
| 1245782010 | Grace Fitzpatrick | Nurse Practitioner | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2016-10-27 |
| 1144673583 | Grace Rudatsikira | Social Worker | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2016-07-21 |
| 1033517255 | Your Health Network, Inc. | Family Medicine | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2014-12-22 |
| 1356771372 | Danielle Herrmann | Social Worker | 9710 Patuxent Woods Dr, Columbia, MD 21046-1526 | 2013-11-13 |
| 1619210960 | Amanda L Sollars | Family Medicine | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2013-04-04 |
| 1497999775 | Adanma Ngozi Ndubuizu | Family Medicine | 9710 Patuxent Woods Dr, Suite 200, Columbia, MD 21046-1526 | 2009-04-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386245710 | John Edward Gough | Counselor | 2715 Colonial Dr Bldg 200a, Columbia, SC 29203-6818 | 2020-11-03 |
| 1750988804 | Teresa Q Harris | Counselor | 1024 Bradford Ridge Ln, Columbia, SC 29223-7143 | 2020-10-01 |
| 1407491830 | Mariah Keathley | Counselor | 201 W Broadway Ste 2f, Columbia, MO 65203-3842 | 2019-11-08 |
| 1962058719 | Lindsey Howard | Counselor | 610 Poplar St, Columbia, PA 17512-2101 | 2019-08-16 |
| 1174085138 | Debra A Parker | Counselor | 100 Ashland Park Ln Ste K, Columbia, SC 29210-5100 | 2019-04-01 |
| 1881152817 | Change Your Reality | Counselor | 729 True St Apt 3, Columbia, SC 29209-1659 | 2019-03-08 |
| 1104393487 | Makida Bey | Counselor | 9850 Softwater Way, Columbia, MD 21046-1887 | 2018-10-25 |
| 1942788542 | Holistic Health Advancements, LLC | Counselor | 9005 Two Notch Rd Ste 4, Columbia, SC 29223-5851 | 2018-08-06 |
| 1811483761 | Live.balanced.life.llc | Counselor | 5305 Village Center Dr Ste 176, Columbia, MD 21044-2382 | 2018-07-03 |
| 1053811729 | Sarah Ann Galatta | Counselor | 2024 Cherry Hill Dr # 201c, Columbia, MO 65203-5921 | 2018-02-19 |
| Find all providers in COLUMBIA | ||||
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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.