Individual provider Active NPI

Kaylee Young, LPC

  • Mental Health Counselor
  • Moore, OK
National Provider Identifier
1033794110
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Practice address
620 NW 5TH St Ste D
Moore, OK 73160-3947
Phone
(405) 208-4469
NPI assigned
Mar 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Mental Health Counselor 101YM0800X OK Primary

Addresses

Primary practice location

620 NW 5TH St Ste D
Moore, OK 73160-3947

Mailing address

5901 SE 10TH St
Midwest City, OK 73110-2415
Phone (405) 694-3192

Other practice location 1

624 NW 5th St
Moore, OK 73160-3924
Phone (405) 694-3192

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240206003645 OK Practitioner - Mental Health Counselor 5092158154 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Warrior Therapy, LLC Mental Health CurrentSince Dec 3, 2023 Accepting new patients
Oklahoma Mental Health Collective CurrentSince Jan 1, 2024 Accepting new patients
Integrated Therapy Solutions of Oklahoma, LLC CurrentSince Dec 3, 2023 Accepting new patients

Locations

620 NW 5th St
Ste D
Moore, OK 73160

4001 N Classen Blvd
Ste 235
Oklahoma City, OK 73118
Phone (405) 673-7590

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1033794110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 SE 10TH ST",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731102415",
            "telephone_number": "405-694-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NW 5TH ST STE D",
            "city": "MOORE",
            "state": "OK",
            "postal_code": "731603947",
            "telephone_number": "405-208-4469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 NW 5th St",
            "address_purpose": "LOCATION",
            "city": "Moore",
            "state": "OK",
            "postal_code": "731603924",
            "country_code": "US",
            "telephone_number": "405-694-3192",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KAYLEE",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-10",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moore, OK

Sources for this page

Verify at the official NPI Registry.