NPIMap

Organization Active NPI

Youth Villages

  • Community/Behavioral Health Agency
  • Memphis, TN
National Provider Identifier
1679976534
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
9103 Issued in TN
Legal business name
YOUTH VILLAGES
Practice address
2714 Union Avenue Ext
Memphis, TN 38112-4436
Phone
(901) 907-6200
NPI assigned
Oct 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

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

Authorized official

Name
Aiisha Williams, LMSW
Title
Specialized Crisis Counselor
Phone
(901) 320-6122

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 9103 TN Primary

Addresses

Primary practice location

2714 Union Avenue Ext
Memphis, TN 38112-4436

Mailing address

2714 Union Avenue Ext
Memphis, TN 38112-4436
Phone (901) 907-6200

National Provider Directory

National Provider Directory
Tax ID family
Youth Villages19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Locations

2714 Union Avenue Ext
Memphis, TN 38112
Phone (901) 320-6100

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1679976534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2714 UNION AVENUE EXT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124436",
            "telephone_number": "901-907-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2714 UNION AVENUE EXT",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381124436",
            "telephone_number": "901-907-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUTH VILLAGES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "AIISHA",
        "authorized_official_title_or_position": "SPECIALIZED CRISIS COUNSELOR",
        "authorized_official_telephone_number": "901-320-6122",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "TN",
            "license": "9103",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.