Active NPI
Youth Villages
- Counselor
- Knoxville, TN
National Provider Identifier
1063553691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Legal business name
- YOUTH VILLAGES
- Practice address
- 9111 Cross Park Dr
Knoxville, TN 37923-4506 - Phone
- (865) 560-2550
- NPI assigned
- Feb 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amy Sams, MA
- Title
- Regional Supervisor
- Phone
- (865) 560-2550
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
9111 Cross Park Dr
Knoxville, TN 37923-4506
Mailing address
2323 Wilson Rd
Knoxville, TN 37912-6154
Phone (865) 560-2550
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170892800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1063553691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2323 WILSON RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379126154",
"telephone_number": "865-560-2550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9111 CROSS PARK DR",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379234506",
"telephone_number": "865-560-2550"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUTH VILLAGES",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "SAMS",
"authorized_official_first_name": "AMY",
"authorized_official_title_or_position": "REGIONAL SUPERVISOR",
"authorized_official_telephone_number": "865-560-2550",
"authorized_official_credential": "MA"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Knoxville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.