Organization Active NPI

Victoria F. Young, LLC

  • Mental Health Counselor
  • Lawrence, KS
National Provider Identifier
1043822539
Registry record updated Aug 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
VICTORIA F. YOUNG, LLC
Practice address
16 E 13TH St
Lawrence, KS 66044-3502
Phone
(541) 222-0185
NPI assigned
Aug 18, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2020

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

Authorized official

Name
Victoria Faye Young, LSCSWNPI 1487800769
Title
Owner
Phone
(541) 222-0185

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

16 E 13TH St
Lawrence, KS 66044-3502

Mailing address

PO Box 12574
Overland Park, KS 66282-2574
Phone (541) 222-0185

Other names 1

  • Lilac Center of Oregon, LLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200902001295 KS Part B Supplier - Clinic/Group Practice 9830516095 Receives reassigned benefits from 1 practitioner
Practice locations: Lawrence, KS

National Provider Directory

National Provider Directory

Locations

16 E 13th St
Lawrence, KS 66044
Phone (785) 331-3400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597708800000",
    "number": "1043822539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12574",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662822574",
            "telephone_number": "541-222-0185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 13TH ST",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660443502",
            "telephone_number": "541-222-0185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICTORIA F. YOUNG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-08-18",
        "certification_date": "2020-08-18",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "FAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-222-0185",
        "authorized_official_credential": "LSCSW"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lilac Center of Oregon, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Lawrence, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.