YOUTH VILLAGES (NPI# 1992243992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992243992 |
| Entity Type | Organization |
| Organization Name | YOUTH VILLAGES |
| Practice Address |
2507 Christie Dr Lake Oswego OR 97034 |
| Mailing Address |
12945 Sw Hawks Beard St Tigard OR 97223-1956 |
| Practice Telephone | 5036353416 |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |
| Authorized Official Name | DAINA MICHELLE TAGUE (ER DIVERSION SPECIALIST) |
| Authorized Official Telephone | 5415134998 |
| Authorized Official Credential | LMSW, QHMP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
M6979 | OR | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801198502 | Youth Villages | In Home Supportive Care | 101 Government Ave Sw Ste 300, Hickory, NC 28602-2936 | 2010-12-01 |
| 1316170475 | Youth Villages | Community/Behavioral Health | 100 Capitola Dr Ste 310, Durham, NC 27713-4497 | 2009-08-24 |
| 1932372463 | Youth Villages | Community/Behavioral Health | 93 Nance Ln Apt C8, Nashville, TN 37210-4341 | 2008-04-04 |
| 1245432251 | Youth Villages | Community/Behavioral Health | 5726 Marlin Rd., Ste. 200, Chattanooga, TN 37411 | 2007-06-01 |
| 1649480930 | Youth Villages | Community/Behavioral Health | 1504 County Road 402, Houston, MS 38851-8201 | 2007-05-23 |
| 1376763961 | Youth Villages | Community/Behavioral Health | 47 Key Corner Rd, Halls, TN 38040-5051 | 2007-04-26 |
| 1740729490 | Youth Villages | Community/Behavioral Health | 2507 Christie Dr., Lake Oswego, OR 97034 | 2017-02-14 |
| 1154867364 | Youth Villages | Community/Behavioral Health | 2313 Executive Cir Ste C, Greenville, NC 27834-3744 | 2017-01-11 |
| 1003350257 | Youth Villages | Community/Behavioral Health | 2659 Sw 4th St, Suite 102, Redmond, OR 97756-6406 | 2016-12-07 |
| 1326498171 | Youth Villages | Case Management | 2659 Sw 4th St, Suite 102, Redmond, OR 97756-6406 | 2016-06-13 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | YOUTH VILLAGES ASSOCIATION | 102 23rd Ave Sw, Puyallup, WA 98373 |
| Oklahoma Business Registrations | YOUTH VILLAGES FOUNDATION, INC. | C/o Arms 3675 Crestwood Pkwy Ste 350, Duluth, GA 30096 |
| Colorado Business Entities | Youth Villages Inc. | 3320 Brothers Blvd., Memphis, TN 38133 |
| Virginia Business Entities | Youth Villages Inc. | 3320 Brother Blvd, Memphis, Tennessee 38133 |
| New York State Corporations | YOUTH VILLAGES INC. | Suite 204, 25 Robert Pitt Drive, Monsey, Ny 10952 |
| Washington State Corporations | YOUTH VILLAGES, INC. | 3320 Brother Blvd, Memphis, TN 38133-8950 |
| Oregon Corporations, Companies and Business Names | YOUTH VILLAGES, INC. | 3320 Brother Blvd, Memphis, TN 38133 |
| Oklahoma Business Registrations | YOUTH VILLAGES, INC. | 3320 Brother Blvd, Memphis, TN 38133 |
| Massachusetts Corporations | YOUTH VILLAGES, INC. | 3320 Brother Blvd., Memphis, TN 38133 |
| Indiana Business Entities | YOUTH VILLAGES, INC. | 3675 Crestwood Parkway, Ste 350, Duluth, GA 30096 |
| Street Address |
2507 CHRISTIE DR |
| City | LAKE OSWEGO |
| State | OR |
| Zip Code | 97034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952915274 | Jordan Taylor Byrd | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2020-09-03 |
| 1487279923 | Jonathan Dominguez | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2020-06-10 |
| 1477193902 | Emily Kelly | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2020-01-13 |
| 1699312678 | Julia Renee-dobler Brodie | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2019-12-09 |
| 1265074249 | Adonna Rogers | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2019-10-11 |
| 1760038301 | Tiamoya Johnson | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2019-08-09 |
| 1679129217 | Reginald Vanness Gilmore II | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2019-08-09 |
| 1851950331 | Isaiah Jackson | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2019-06-10 |
| 1255802914 | Amber Ziring | Counselor | 2507 Christie Dr, Lake Oswego, OR 97043 | 2018-12-06 |
| 1780164210 | Kylee Weron | Counselor | 2507 Christie Dr, Lake Oswego, OR 97034 | 2018-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194377309 | Robin Donart | Case Manager/Care Coordinator | 2595 Christie Drive, Lake Oswego, OR 97034 | 2019-07-09 |
| 1740844539 | New Avenues for Youth | Clinic/Center | 2595 Christie Dr., Lake Oswego, OR 97034 | 2019-04-26 |
| 1366946451 | Kristy Car Makowichuk | Counselor | 630 B Avenue, Suite 9, Lake Oswego, OR 97034 | 2018-03-22 |
| 1861841504 | Soaring Crane Acuouncture LLC | Acupuncturist | 630 B Ave. #3, Lake Oswego, OR 97034 | 2016-06-03 |
| 1679945216 | Guru Sandesh Singh Khalsa | Naturopath | 630 B Avenue, Suite 3, Lake Oswego, OR 97034 | 2015-10-22 |
| 1902208846 | 360 Pediatric Psychology, PC | Clinical Neuropsychologist | 201 B Ave., Suite #285, Lake Oswego, OR 97034 | 2014-09-23 |
| 1275873309 | Sara Elizabeth Forrest | Social Worker | 2507 Christie Dr., Lake Oswego, OR 97034 | 2013-02-27 |
| 1982964631 | Catherine L Morris Daraee | Social Worker | 4040 Douglas Way, Lake Oswego, OR 97034 | 2012-05-29 |
| 1205105244 | Gail E. Barnard | Specialist/Technologist | 1260 Rockinghorse Ln, Lake Oswego, OR 97034 | 2011-12-20 |
| 1306099460 | Corinne Jarvis | Speech-Language Pathologist | 325 3rd Street, Lake Oswego, OR 97034 | 2008-11-02 |
| Find all providers in zip 97034 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619599545 | Rework Behavioral Therapy, LLC | Clinic/Center | 7724 Se Aspen Summit Dr Ste 300, Portland, OR 97266-9217 | 2020-05-14 |
| 1447871066 | Sande School of Horsemanship | Clinic/Center | 33836 Bennett Rd, Warren, OR 97053-9706 | 2020-05-05 |
| 1740812809 | Inhousedoc, Inc. | Clinic/Center | 23334 Sw Saint Charles Way, Sherwood, OR 97140-9483 | 2020-02-06 |
| 1033740204 | Cascade Therapy Center, LLC | Clinic/Center | 4531 Se Belmont St Ste 106, Portland, OR 97215-1675 | 2020-01-28 |
| 1043861222 | Renewing Strength Counseling LLC | Clinic/Center | 4509 S 6th St Ste 310, Klamath Falls, OR 97603-4883 | 2019-09-27 |
| 1205338365 | Youth Era | Clinic/Center | 44 W Broadway Ste 225, Eugene, OR 97401-3071 | 2018-03-05 |
| 1730598038 | Benton County | Clinic/Center | 4077 Sw Research Way, Corvallis, OR 97333-1065 | 2014-08-12 |
| 1801177902 | Cascade Counseling and Assessment | Clinic/Center | 516 Se Morrison St Ste 705, Portland, OR 97214-2347 | 2011-09-01 |
| 1932435377 | County of Lincoln | Clinic/Center | 322 Ne Eads St, Newport, OR 97365-2819 | 2009-10-20 |
| 1760718100 | Lincoln County Health and Human Services | Clinic/Center | 320 Lower Crestline Dr., Waldport, OR 97394 | 2009-10-20 |
| Find all providers with the same taxonomy | ||||
| City | LAKE OSWEGO |
| Zip Code | 97034 |
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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.