Michelle Young, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

103919 Issued in TX

Practice address

21880 Roberts LN
New Caney, TX 77357-4748

Phone

(713) 376-9640

Fax

(281) 689-5665

NPI assigned

Jun 29, 2012

Last updated

Jan 11, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Northeast Speech Pathology, PLLC

  • Speech-Language Pathologist
  • New Caney, TX
  • NPI 1851788079
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1033473442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21880 ROBERTS LN",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773574748",
            "telephone_number": "713-376-9640",
            "fax_number": "281-689-5665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21880 ROBERTS LN",
            "city": "NEW CANEY",
            "state": "TX",
            "postal_code": "773574748",
            "telephone_number": "713-376-9640",
            "fax_number": "281-689-5665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MICHELLE",
        "credential": "CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "TX",
            "license": "103919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Fork Management and Consulting LLC
• Brigette Nicole West, QIDP
• Dayna Whitmire, PTA
• Barry G Willens, M.D.
• Ronald Paul Yex Sr.
• Yorkeyah Young

• Speech-Language Pathologist in New Caney, TX
• Providers in New Caney, TX by specialty
• Speech-Language Pathologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.