Active NPI
Dana Marie Young, MS
- Mental Health Counselor
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- IMH11051
- Practice address
- 1221 W Lakeview Ave
Pensacola, FL 32501-1857 - Phone
- (850) 469-3500
- Fax
- (850) 595-1400
- NPI assigned
- Jul 8, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH11051 | FL | Primary |
Addresses
Primary practice location
1221 W Lakeview Ave
Pensacola, FL 32501-1857
Mailing address
1221 W Lakeview Ave
Pensacola, FL 32501-1857
Phone (850) 469-3500
Other names 1
- Ms. Dana Marie Lett
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
259 E Oakdale Ave
Crestview, FL 32539-3547
Phone (850) 682-1234
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH11051 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PPCC, Inc. | Mental Health | Current | Accepting new patients |
| Cotler Healthcare & Development Inc. | Current | Accepting new patients | |
| Emerald Coast Behavioral Hospital, LLC | Past | Accepting new patients |
Locations
259 E Oakdale Ave
Crestview, FL 32539
Phone (850) 682-1234
7 Vine Ave NE
Fort Walton Beach, FL 32548
Phone (850) 449-9566
901 S 62nd Ave
Hollywood, FL 33023
Phone (954) 893-0109
9835 Lake Worth Rd
Ste 16179
Lake Worth, FL 33467
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 and National Provider Directory roles.
-
- Mental Health Counselor
- Crestview, FL
- NPI 1164747739
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Wellington, FL
- NPI 1225075047
-
- Psychiatric Hospital
- Panama City, FL
- NPI 1578795332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404777600000",
"number": "1083020317",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 W LAKEVIEW AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011857",
"telephone_number": "850-469-3500",
"fax_number": "850-595-1400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 W LAKEVIEW AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325011857",
"telephone_number": "850-469-3500",
"fax_number": "850-595-1400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "DANA",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-07-08",
"last_updated": "2014-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH11051",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANA",
"last_name": "LETT",
"middle_name": "MARIE",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.