NPIMap

Organization Active NPI

Ksa Youth Foundation Inc.

Doing business as A plus Counseling Center

  • Case Management Agency
  • Fort Washington, MD
National Provider Identifier
1770052409
Registry record updated Nov 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
KSA YOUTH FOUNDATION INC.
Doing business as
A plus Counseling Center
Practice address
10903 Indian Head Hwy Ste 504
Fort Washington, MD 20744-4012
Phone
(240) 766-4194
Fax
(301) 485-0363
NPI assigned
Nov 26, 2018
Last updated
Nov 26, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2018

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

Authorized official

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NU Primary
Non-emergency Medical Transport (VAN) 343900000X NU

Addresses

Primary practice location

10903 Indian Head Hwy Ste 504
Fort Washington, MD 20744-4012

Mailing address

10903 Indian Head Hwy Ste 504
Fort Washington, MD 20744-4012
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.

Locations

10903 Indian Head Hwy
Ste 504
Ft Washington, MD 20744
Phone (240) 493-4704

NPI Registry JSON

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

{
    "created_epoch": "1543190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543190400000",
    "number": "1770052409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 INDIAN HEAD HWY STE 504",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444012",
            "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": "10903 INDIAN HEAD HWY STE 504",
            "city": "FORT WASHINGTON",
            "state": "MD",
            "postal_code": "207444012",
            "telephone_number": "240-766-4194",
            "fax_number": "301-485-0363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KSA YOUTH FOUNDATION INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-26",
        "last_updated": "2018-11-26",
        "status": "A",
        "authorized_official_last_name": "WILKINS-JACKSON",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "240-766-4194",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A plus Counseling Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Washington, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; 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.