Active NPI
Mahnee M Young, SOCIOLOGY B.A.
- Student in an Organized Health Care Education/Training Program
- Madison, WI
National Provider Identifier
1023663978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 5315 Wall St Ste 200
Madison, WI 53718-7937 - Phone
- (608) 889-7173
- NPI assigned
- Aug 7, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
5315 Wall St Ste 200
Madison, WI 53718-7937
Mailing address
606 Hintze Rd
Madison, WI 53704-2208
Phone (309) 644-9809
Other practice location 1
606 Hintze Rd
Madison, WI 53704-2208
Phone (309) 644-9809
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Counseling Center, LLC | Social Worker | Current | Accepting new patients |
Locations
5315 Wall St
Ste 200
Madison, WI 53718
Phone (608) 889-7173
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753920000000",
"number": "1023663978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "606 HINTZE RD",
"city": "MADISON",
"state": "WI",
"postal_code": "537042208",
"telephone_number": "309-644-9809"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5315 WALL ST STE 200",
"city": "MADISON",
"state": "WI",
"postal_code": "537187937",
"telephone_number": "608-889-7173"
}
],
"practiceLocations": [
{
"address_1": "606 Hintze Rd",
"address_purpose": "LOCATION",
"city": "Madison",
"state": "WI",
"postal_code": "537042208",
"country_code": "US",
"telephone_number": "309-644-9809",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "MAHNEE",
"middle_name": "M",
"credential": "SOCIOLOGY B.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-07",
"last_updated": "2025-07-31",
"certification_date": "2025-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.