Youth Enrichment Services of LKN, Inc

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

YOUTH ENRICHMENT SERVICES OF LKN, INC

Practice address

635 W McLelland Ave
Mooresville, NC 28115-3140

Phone

(704) 660-0973

NPI assigned

Nov 4, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jim Carr

Title

Ceo

Phone

(704) 660-0973

Specialties & licenses 1

Addresses

Tax ID family

Youth Enrichment Services of LKN Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Youth Enrichment Services of LKN, Inc.

  • Community/Behavioral Health Agency
  • Mooresville, NC
  • NPI 1497972319
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Clarissa Carr

  • Mental Health Counselor
  • Charlotte, NC
  • NPI 1497076855

  Professional

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1288828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288828800000",
    "number": "1154622389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "635 W MCLELLAND AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153140",
            "telephone_number": "704-660-0973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "635 W MCLELLAND AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281153140",
            "telephone_number": "704-660-0973"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH ENRICHMENT SERVICES OF LKN, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-04",
        "last_updated": "2010-11-04",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "JIM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "704-660-0973",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher J Yates, MD
• Joseph Thomas Yawn, MSN, PMHNP-BC
• Kelli York, M.ED., CCC-SLP
• Melissa Clodfelter Young, IBCLC
• Wendi D Young, CRNA
• Youth Enrichment Services of LKN, Inc.
• Daniel P Zagst, D.C.
• Serena Leigh Zagst, DC
• Francesca Zappasodi
• Carley Zarcone, COTA

• Professional Counselor in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Professional Counselor in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.