Youthville

Primary specialty

Foster Care AgencyTaxonomy code 253J00000X

License

LCP 2053 Issued in KS

Legal business name

YOUTHVILLE

Practice address

4505 E 47TH St S
Wichita, KS 67210-1651

Phone

(316) 529-9100

Fax

(316) 529-9351

NPI assigned

Feb 20, 2009

Organization subpart

No

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

Authorized official

Name

Amy Rene Glendening, LPC

Title

Trauma Specialist

Phone

(316) 529-9100

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1235088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235088000000",
    "number": "1619117397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4505 E 47TH ST S",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672101651",
            "telephone_number": "316-529-9100",
            "fax_number": "316-529-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 E 47TH ST S",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672101651",
            "telephone_number": "316-529-9100",
            "fax_number": "316-529-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTHVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-20",
        "last_updated": "2009-02-20",
        "status": "A",
        "authorized_official_last_name": "GLENDENING",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "TRAUMA SPECIALIST",
        "authorized_official_telephone_number": "316-529-9100",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "253J00000X",
            "taxonomy_group": "",
            "desc": "Foster Care Agency",
            "state": "KS",
            "license": "LCP 2053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Connie Joe Zabel, LMLP

• Foster Care Agency in Wichita, KS
• Providers in Wichita, KS by specialty
• Foster Care Agency in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2009; 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.