Ellie S Young

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

118258 Issued in OR

Practice address

1200 Hilyard St Ste 570
Eugene, OR 97401-8168

Phone

(458) 205-7070

Fax

(541) 687-6214

NPI assigned

Oct 5, 2026

Last updated

Oct 20, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1791158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1063316941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 AVALON ST",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974027572",
            "telephone_number": "541-913-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HILYARD ST STE 570",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974018168",
            "telephone_number": "458-205-7070",
            "fax_number": "541-687-6214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ELLIE",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-05",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "OR",
            "license": "118258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rie Yoshida, PT
• Young Men's Christian Association of Eugene (Eugene Family YMCA)
• Annette Kidessa Young, LCSW
• Brendan Young
• Devlyn Rhys Young, MA, QMHP
• Erik Jordan Young, MD PHD
• Gary Young, M.D.
• Heather Elizabeth Young, R.N.
• Jennifer L Young, NP
• Jon Adam Young, BSW

• Peer Specialist in Eugene, OR
• Providers in Eugene, OR by specialty
• Peer Specialist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.