Active NPI
Sandra L Young, LMHP, LADC, LPC
- Mental Health Counselor
- North Platte, NE
National Provider Identifier
1033471479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 4443
- Practice address
- 110 N Bailey Ave
North Platte, NE 69101-5436 - Phone
- (308) 534-6029
- NPI assigned
- Jun 12, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 1062 | NE | |
| Mental Health Counselor | 101YM0800X | 4443 | NE | Primary |
| Professional Counselor | 101YP2500X | 2162 | NE |
Addresses
Primary practice location
110 N Bailey Ave
North Platte, NE 69101-5436
Mailing address
110 N Bailey Ave
North Platte, NE 69101-5436
Phone (308) 534-6029
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 4, 2025 through Nov 4, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1062 | NE | MD | Addiction (Substance Use Disorder) Counselor |
| 2162 | NE | MD | Mental Health Counselor |
| 4443 | NE | MD | Physical Therapist |
| 1886 | NE | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Region II Human Services | Past | Accepting new patients |
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.
-
dba Heartland Couseling Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- North Platte, NE
- NPI 1013923382
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339459200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490227200000",
"number": "1033471479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 N BAILEY AVE",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015436",
"telephone_number": "308-534-6029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N BAILEY AVE",
"city": "NORTH PLATTE",
"state": "NE",
"postal_code": "691015436",
"telephone_number": "308-534-6029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SANDRA",
"middle_name": "L",
"credential": "LMHP, LADC, LPC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-12",
"last_updated": "2017-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NE",
"license": "1062",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "4443",
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "NE",
"license": "2162",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Platte, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.