BEVERLY R YOUNG (NPI# 1689963928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689963928 |
| Entity Type | Individual |
| Full Name | BEVERLY R YOUNG |
| Credential | LMHC |
| Practice Address |
1216 W Jefferson St Kokomo IN 46901-4341 |
| Mailing Address |
Po Box 6181 Kokomo IN 46904-6181 |
| Practice Telephone | 7658546010 |
| Practice Fax Number | 7658546011 |
| Mailing Telephone | 7658546010 |
| Mailing Fax Number | 7658546011 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2011-04-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
39002256A | IN | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306452800 | Beverly Christine Young | Nurse Practitioner | 608 New Hope Rd Ste 8, Princeton, WV 24740-2287 | 2020-09-20 |
| 1023449790 | Beverly Oxendine Young II | Counselor | 111 Elba St, Lumberton, NC 28358-3457 | 2013-12-06 |
| 1386086932 | Beverly J Young | Specialist/Technologist | 600 22nd St Nw, Washington, DC 20052-0055 | 2013-07-24 |
| 1962545194 | Beverly Young | Optometrist | 1138 Newpark Mall, Newark, CA 94560-5246 | 2007-02-15 |
| 1902913536 | Beverly Susan Young | Counselor | 2801 Aramon Dr, Rancho Cordova, CA 95670-4803 | 2006-08-23 |
| 1225511728 | Beverly Anne Young | Case Manager/Care Coordinator | 201 W Springdale Ave, Knoxville, TN 37917-5158 | 2018-09-11 |
| 1962728527 | Beverly Ray Young | Student in an Organized Health Care Education/Training Program | 505 Parnassus Ave, San Francisco, CA 94143-2204 | 2010-04-07 |
| 1427180710 | Beverly Ann Young | Counselor | 6162 E Mockingbird Ln, Suite 204, Dallas, TX 75214-2697 | 2007-03-12 |
| 1831296862 | Beverly Ann Young | Physical Therapy Assistant | 1120 Falcon Dr, Kennett, MO 63857-3825 | 2006-09-20 |
| 1679675599 | Beverly Kay Young | Psychiatry & Neurology | 8495 Crater Lake Hwy, Va Southern Oregon Rehabilitation Center and Clinics, White City, OR 97503 | 2006-09-01 |
| Street Address |
1216 W JEFFERSON ST |
| City | KOKOMO |
| State | IN |
| Zip Code | 46901-4341 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538170188 | Scott Andrew Edwards | Psychologist | 1216 W Jefferson St, Kokomo, IN 46901-4341 | 2006-08-10 |
| 1356352991 | Scott A Edwards Phd, PC | Clinic/Center | 1216 W Jefferson St, Kokomo, IN 46901-4341 | 2006-08-10 |
| 1689685240 | Richard C Webber | Counselor | 1216 W Jefferson St, Kokomo, IN 46901-4341 | 2006-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607597 | Momentum Kokomo, LLC | Substance Abuse Rehabilitation Facility | 1236 N. Wabash Ave, Kokomo, IN 46901 | 2020-10-23 |
| 1457826869 | Jodi Gayle Lake | Developmental Therapist | 2523 Lorentson Ct, Kokomo, IN 46901 | 2018-10-11 |
| 1871088369 | Hope Behavioral Servies, LLC | Behavioral Analyst | 924 Clark St, Kokomo, IN 46901 | 2018-06-27 |
| 1255782306 | Forefront Dermatology, S.c. | Dermatology | 2130 W Sycamore St Ste 200, Kokomo, IN 46901 | 2016-06-29 |
| 1164860706 | Renee Michelle Brown | Registered Nurse | 2776 Amberwood Place, Kokomo, IN 46901 | 2013-06-05 |
| 1063642916 | Michelle K Rush | Speech-Language Pathologist | 2532 Lauren Ln, Kokomo, IN 46901 | 2009-07-24 |
| 1396957189 | Lifetime Dental Care of In, PC | Dentist | 927 S Washington St, Kokomo, IN 46901 | 2007-05-04 |
| 1245458355 | Wagoner Medical Center, LLC | Internal Medicine | 2016 W Sycamore, Kokomo, IN 46901 | 2007-04-23 |
| 1053442723 | Jesusa Salhieh | Contractor | Genesis Rehab Bloom, Kokomo, IN 46901 | 2007-03-07 |
| 1740382928 | Donald A Fantuzzo Dds PC | Dentist | 2196 W Sycamore St, Kokomo, IN 46901 | 2006-09-01 |
| Find all providers in zip 46901 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902406747 | Abigail A Campbell | Counselor | 2660 Sea Biscuit Ln, Kokomo, IN 46901-5093 | 2020-10-30 |
| 1043826175 | Emily Brianne Edwards | Counselor | 217 E Southway Blvd, Kokomo, IN 46902-3698 | 2020-09-23 |
| 1982244687 | John Gilbert Stark Jr. | Counselor | 417 Arnold Ct, Kokomo, IN 46902-3702 | 2020-01-10 |
| 1366925257 | John Robert Lawson | Counselor | 700 E Firmin St Ste 182, Kokomo, IN 46902-2350 | 2018-09-07 |
| 1902301807 | Donald W Ridenour | Counselor | 1520 W Mulberry St, Kokomo, IN 46901-4272 | 2018-03-24 |
| 1063812899 | Gabriel Valentine | Counselor | 1613 South Elizabeth St, Apt 1b, Kokomo, IN 46902 | 2014-08-28 |
| 1174828917 | Dianna Spray Rudd | Counselor | 522 W Jackson St, Kokomo, IN 46901-4440 | 2011-01-25 |
| 1154653426 | Family Piece LLC | Counselor | 4254 S 00 Ew, Kokomo, IN 46902-5205 | 2010-02-11 |
| 1154653780 | Daniel Paul Price | Counselor | 2205 Glenora Ct, Kokomo, IN 46902-3195 | 2010-02-07 |
| 1679707145 | Elizabeth Barnett | Counselor | 1425 N Bell St, Kokomo, IN 46901-2302 | 2009-05-12 |
| Find all providers in KOKOMO | ||||
Please comment or provide details below to improve the information on BEVERLY R 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.