Icare Youth Services

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

ICARE YOUTH SERVICES

Practice address

173 Snapdragon LN
Waxahachie, TX 75165-2681

Phone

(469) 297-4571

NPI assigned

Jun 10, 2020

Organization subpart

No

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

Authorized official

Name

Kainette Jones, RBT

Title

Executive Director

Phone

(469) 297-4571

Specialties & licenses 6

Addresses

Other identifiers 1

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

{
    "created_epoch": "1591747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672876800000",
    "number": "1841815339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 SNAPDRAGON LN",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652681",
            "telephone_number": "469-297-4571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 SNAPDRAGON LN",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751652681",
            "telephone_number": "469-297-4571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE YOUTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-10",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KAINETTE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "469-297-4571",
        "authorized_official_credential": "RBT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BACB",
            "identifier": "RBT-22-251844",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zachary Thomas Hubert, MD
• Paula Eliose Hudgins, RNCS-BC
• Lindsey Huston
• Kimberly Hutchins
• Christian Hyun, MD
• Ikids Orthodontics Waxahachie PLLC
• Ikids Pediatric Dentistry Waxahachie PLLC
• Imperialhealth Clinic PLLC
• Imperialhealth Clinic PLLC
• Innate Medical Solutions PLLC

• Community Health Clinic/Center in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Community Health Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2023; 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.