KIMBERLY LATASHA YOUNG (NPI# 1881168540) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881168540 |
| Entity Type | Individual |
| Full Name | KIMBERLY LATASHA YOUNG |
| Practice Address |
860 E River Pl Ste 100 Jackson MS 39202-3442 |
| Practice Telephone | 7692515550 |
| Mailing Telephone | 7692515550 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013533553 | Kimberly Wade Young | Nurse Practitioner | 2936 Idaho Falls Dr, Beavercreek, OH 45431-5607 | 2020-06-21 |
| 1235616913 | Kimberly Jill Young | Dietitian, Registered | 8500 N. Atlas Rd., Hayden, ID 83835 | 2018-07-25 |
| 1225570096 | Kimberly Young | Clinical Nurse Specialist | 3234 Mossy Elm Ct, Houston, TX 77059-3228 | 2016-11-10 |
| 1770030827 | Kimberly Young | Technician, Other | 795 Michigan Ave, Gaylord, MI 49735-9525 | 2016-09-07 |
| 1194197434 | Kimberly Young | Nurse Practitioner | 501 Fellowship Rd Ste 101, Mount Laurel, NJ 08054 | 2015-10-27 |
| 1083963185 | Kimberly Kyzer Young | Pharmacist | 1002 Sams Crossing Rd, Columbia, SC 29229 | 2012-09-05 |
| 1073761813 | Kimberly Dawn Young | Physical Therapy Assistant | 405 Royal Glen Blvd, Murfreesboro, TN 37128-3744 | 2008-09-05 |
| 1265634505 | Kimberly Arlene Young | Psychologist | 3505 N 124th St, Uppr, Brookfield, WI 53005-2489 | 2007-05-31 |
| 1396373601 | Kimberly Anieka Young | Social Worker | 109 S Elm St, Creedmoor, NC 27522-9181 | 2020-03-31 |
| 1457852162 | Kimberly Lavon Young | Registered Nurse | 3330 Fannin St, Beaumont, TX 77701-3801 | 2018-02-27 |
| Street Address |
860 E RIVER PL STE 100 |
| City | JACKSON |
| State | MS |
| Zip Code | 39202-3442 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477827475 | Coronda Weathersby | Counselor | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2012-03-08 |
| 1265033781 | Natile Nicole Thompson | Counselor | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2020-11-02 |
| 1336765536 | Kimberly C Fonville | Counselor | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2020-06-23 |
| 1558997320 | Jeffrey Lance Penn | Social Worker | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2020-03-12 |
| 1003440553 | Jessica Elizabeth Beaurain | Social Worker | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2020-02-24 |
| 1497387088 | Roderick Crain | Social Worker | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2020-02-11 |
| 1528606993 | Shena L Branley | Social Worker | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-12-17 |
| 1376180521 | Cassandra Ward Peterson | Social Worker | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-12-06 |
| 1548807886 | Bret David Patterson | Student in an Organized Health Care Education/Training Program | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-12-05 |
| 1912544438 | Moniques Remonda Singleton | Counselor | 860 E River Pl Ste 100, Jackson, MS 39202-3442 | 2019-12-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982234183 | Eva Mackenzie Carmody | Physician Assistant | 1190 N State St Suite 502, Jackson, MS 39202 | 2020-01-16 |
| 1750868691 | Katherine Walters | Nurse Practitioner | 501 Marshall St., Suite 400, Jackson, MS 39202 | 2018-07-24 |
| 1932638749 | Tylan Lee | Social Worker | 860 East River Place Suite 100, Jackson, MS 39202 | 2017-06-06 |
| 1417314725 | Euna Jyles | Counselor | 860 E River Pl, Jackson, MS 39202 | 2016-01-19 |
| 1255712048 | Edward Jonathan Breight | Specialist/Technologist | 1325 East Fortication Street, Jackson, MS 39202 | 2015-06-17 |
| 1881037703 | Kara Spinks Logan | Surgery | 1190 N State St Ste 502, Jackson, MS 39202 | 2013-04-10 |
| 1477876530 | Mick Inc. | Technician | 334 Josanna Street, Suite #209, Jackson, MS 39202 | 2010-03-03 |
| 1073724910 | Paul Frederic Dare | Anesthesiology | 1151 North State St., Suite 311, Jackson Anesthesia Associates, Jackson, MS 39202 | 2007-05-24 |
| 1225247703 | Lynn Kincannon Holland | Counselor | 911 Manship Street, Unit A, Jackson, MS 39202 | 2007-05-22 |
| 1457568149 | Incare Inc | Pulmonary Function Technologist | 1151 North State St, Suite 406, Jackson, MS 39202 | 2007-05-16 |
| Find all providers in zip 39202 | ||||
| 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 |
|---|---|---|---|---|
| 1477169423 | Chiquita Minor Hampton | Counselor | 3433 Exchange Dr, Jackson, MS 39212-4818 | 2020-09-16 |
| 1457986390 | Comfort Zone Counseling LLC | Counselor | 209 E Washington Ave Ste 330-d, Jackson, MI 49201-2393 | 2020-03-11 |
| 1255976825 | April Sue Montague | Counselor | 401 S Mechanic St, Jackson, MI 49201-2350 | 2019-11-07 |
| 1851950356 | Trunorth Counseling, Pllc | Counselor | 1312 Warren Ave, Upper Level, Rm #1, Jackson, MI 49203-3732 | 2019-06-08 |
| 1083176218 | Mindful Solutions, LLC | Counselor | 4500 I 55 N Ste 230, Jackson, MS 39211-5930 | 2019-04-05 |
| 1841757630 | Susan E Cumings | Counselor | 2811 W Morrell St, Jackson, MI 49203-2643 | 2019-02-27 |
| 1285108357 | Eric Wood | Counselor | 4623 Maurey Rd, Jackson, MS 39211 | 2019-01-11 |
| 1619448669 | Toby Ribiat | Counselor | 10 Partree Rd, Jackson, NJ 08527-1710 | 2018-12-16 |
| 1679077242 | Lifespring Counseling Services | Counselor | 2938 E Michigan Ave, Jackson, MI 49202-3846 | 2018-03-20 |
| 1164920898 | Michael Anderson | Counselor | 502 Mccarty Ln Ste 5, Jackson, OH 45640-7025 | 2018-01-29 |
| Find all providers in JACKSON | ||||
Please comment or provide details below to improve the information on KIMBERLY LATASHA 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.