Individual provider Active NPI

Mahnee M Young, SOCIOLOGY B.A.

  • Student in an Organized Health Care Education/Training Program
  • Madison, WI
National Provider Identifier
1023663978
Registry record updated Jul 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on Jul 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

OrganizationSpecialtyStatusNew patients
Lakeside Counseling Center, LLC Social Worker CurrentSince Aug 3, 2025 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.

Verify at the official NPI Registry.