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YOUTH TOWN OF TENNESSEE, INC.
NPI 1902996721
Substance Abuse Rehabilitation Facility in Pinson, TN

Active since October 13, 2006CLIA 44D2092536 · Waiver
3641 YOUTH TOWN RD, PINSON, TN 38366(731) 988-5251(731) 427-5605 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Youth Town Of Tennessee, Inc. NPPES

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

YOUTH TOWN OF TENNESSEE, INC. (NPI 1902996721) is a healthcare organization registered as a substance abuse rehabilitation facility in Pinson, Tennessee and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through March 8, 2027 and lists Nick Summar, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1902996721
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameYOUTH TOWN OF TENNESSEE, INC.
Location Address3641 YOUTH TOWN RDPinson, TN 38366-9804
Mailing AddressPo Box 1385Jackson, TN 38302-1385 · (731) 988-5251 · Fax (731) 427-5605
Phone(731) 988-5251
Fax(731) 427-5605
Organization SubpartNo
Authorized OfficialNick SummarExecutive Director · (731) 988-5251
Enumeration DateOctober 13, 2006
Last NPPES UpdateJune 17, 2020
NPPES CertifiedJune 17, 2020
✔ NPI 1902996721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License✔ Licensed in TN · 0000000507
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License I000000002836 (TN)
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License I000000002836 (TN)
3641 YOUTH TOWN RD, Pinson, TN 38366
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Other Identifiers 1

Medicaid5441227TN

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 44D2092536

Youth Town Of Tennessee, Inc · Pinson, TN
Active · expires Mar 8, 2027
CLIA Number44D2092536
Laboratory TypeResidential Substance Abu
Certificate Effective DateMarch 9, 2025
Certificate Expiration DateMarch 8, 2027
Laboratory DirectorJohn Bomar
Laboratory Phone(731) 988-5251
Laboratory LocationYouth Town Of Tennessee, Inc3641 Youth Town Rd, Pinson, TN 38366
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

SHANNON ROSS R.N.
Registered Nurse
3641 YOUTH TOWN RD
PINSON, TN 38366
Madison County (731) 988-5251
NATHAN JUDD M.S.
Counselor (Professional)
3641 YOUTH TOWN RD
PINSON, TN 38366
Madison County (731) 988-5251
BOBBIE COLEY M.S
Counselor
3641 YOUTH TOWN RD
PINSON, TN 38366
Madison County (731) 988-5251
JILL WRIGHT M.S.
Counselor
3641 YOUTH TOWN RD
PINSON, TN 38366
Madison County (731) 988-5251
ERIC J BAUSCH LPC
Counselor (Professional)
3641 YOUTH TOWN RD
PINSON, TN 38366
Madison County (731) 988-5251

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 Youth Town Of Tennessee, Inc.'s NPI number?

The NPI number for Youth Town Of Tennessee, Inc. is 1902996721. It was assigned to this organization in the NPPES registry on October 13, 2006.

Where is Youth Town Of Tennessee, Inc. located?

Youth Town Of Tennessee, Inc. is located at 3641 Youth Town Rd, Pinson, TN 38366. The listed phone number is (731) 988-5251.

What is Youth Town Of Tennessee, Inc.'s specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Youth Town Of Tennessee, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 44D2092536) is associated with this NPI, valid through March 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Youth Town Of Tennessee, Inc. accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of North Carolina and 4 other insurers list Youth Town Of Tennessee, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Youth Town Of Tennessee, Inc. was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.