NPIMap

Organization Active NPI

Ksa Youth Foundation Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Towson, MD
National Provider Identifier
1447723176
Registry record updated Jan 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
Legal business name
KSA YOUTH FOUNDATION INC.
Practice address
7600 Osler Dr Ste 105
Towson, MD 21204-7705
Phone
(240) 766-4194
Fax
(301) 485-0363
NPI assigned
Jan 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2019

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

Authorized official

Name
Katrina Wilkins-Jackson
Title
Ceo
Phone
(240) 766-4194

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Primary Care Clinic/Center 261QP2300X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X Primary

Addresses

Primary practice location

7600 Osler Dr Ste 105
Towson, MD 21204-7705

Mailing address

PO Box 703
Accokeek, MD 20607-0703
Phone (240) 766-4194

Other names 1

  • A plus Counseling Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
A Plus Counseling Center8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546560000000",
    "number": "1447723176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 703",
            "city": "ACCOKEEK",
            "state": "MD",
            "postal_code": "206070703",
            "telephone_number": "240-766-4194",
            "fax_number": "301-485-0363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7600 OSLER DR STE 105",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047705",
            "telephone_number": "240-766-4194",
            "fax_number": "301-485-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSA YOUTH FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2019-01-04",
        "status": "A",
        "authorized_official_last_name": "WILKINS-JACKSON",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-766-4194"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A plus Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2019; 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.