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KSA YOUTH FOUNDATION INC.
NPI 1013483023
Clinic/Center - Rehabilitation, Substance Use Disorder in Fort Washington, MD

Active since October 17, 2018
10905 FORT WASHINGTON RD STE 105, FORT WASHINGTON, MD 20744(240) 766-4194(301) 485-0363 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 3, 2023, Oct 17, 2018 (2 updates tracked since 2018).

About Ksa Youth Foundation Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KSA YOUTH FOUNDATION INC. (NPI 1013483023) is a healthcare organization registered as a rehabilitation, substance use disorder in Fort Washington, Maryland and active in the NPI registry since October 2018. The organization lists Katrina Ann Wilkins-jackson, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1013483023
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameKSA YOUTH FOUNDATION INC.
Location Address10905 FORT WASHINGTON RD STE 105Fort Washington, MD 20744-5844
Mailing Address10905 Fort Washington Rd Ste 105Fort Washington, MD 20744-5844 · (240) 766-4194 · Fax (301) 485-0363
Phone(240) 766-4194
Fax(301) 485-0363
Organization SubpartNo
Authorized OfficialKatrina Ann Wilkins-jacksonPresident & Ceo · (240) 766-4194
Enumeration DateOctober 17, 2018
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1013483023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedPrevention ProfessionalTaxonomy 405300000X
10905 FORT WASHINGTON RD STE 105, Fort Washington, MD 20744
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Other Identifiers 1

Medicaid132375000MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATRINA ANN WILKINS-JACKSON LGPC
Counselor (Mental Health)
10905 FORT WASHINGTON RD STE 105
FORT WASHINGTON, MD 20744
Prince George's County (202) 758-4898
KSA YOUTH FOUNDATION INC.
Clinic/Center (Mental Health (Including Community Mental Health Center))
10905 FORT WASHINGTON RD STE 105
FORT WASHINGTON, MD 20744
Prince George's County (240) 766-4194
KSA YOUTH FOUNDATION INC.
General Practice
10905 FORT WASHINGTON RD STE 105
FORT WASHINGTON, MD 20744
Prince George's County (240) 766-4194

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ksa Youth Foundation Inc.'s NPI number?

The NPI number for Ksa Youth Foundation Inc. is 1013483023. It was assigned to this organization in the NPPES registry on October 17, 2018.

Where is Ksa Youth Foundation Inc. located?

Ksa Youth Foundation Inc. is located at 10905 Fort Washington Rd Ste 105, Fort Washington, MD 20744. The listed phone number is (240) 766-4194.

What is Ksa Youth Foundation Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Ksa Youth Foundation Inc. was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.