NPIMap

Organization Active NPI

Ksa Youth Foundation Inc.

Doing business as A Plus Counseling Center

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fort Washington, MD
National Provider Identifier
1801460084
Registry record updated May 13, 2021
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.
Doing business as
A Plus Counseling Center
Practice address
10903 Indian Head Hwy Ste 501
Fort Washington, MD 20744-4012
Phone
(240) 766-4194
Fax
(301) 485-0363
NPI assigned
May 13, 2021
Last updated
May 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Authorized official

Name
Dr. Katrina Wilkins Jackson
Title
President & Ceo
Phone
(240) 766-4194

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NU Primary

Addresses

Primary practice location

10903 Indian Head Hwy Ste 501
Fort Washington, MD 20744-4012

Mailing address

10903 Indian Head Hwy Ste 501
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 501
Fort Washington, MD 20744
Phone (240) 766-4194

NPI Registry JSON

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

{
    "created_epoch": "1620864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620864000000",
    "number": "1801460084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10903 INDIAN HEAD HWY STE 501",
            "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 501",
            "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": "2021-05-13",
        "last_updated": "2021-05-13",
        "certification_date": "2021-04-17",
        "status": "A",
        "authorized_official_last_name": "WILKINS JACKSON",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "240-766-4194",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "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 May 13, 2021; 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.