Shawnda Nicole Young, MS, LAC, NCC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LAC-23345 Issued in AZ

Practice address

1740 E Beverly Ave Ste B
Kingman, AZ 86409-3564

Phone

(928) 753-9383

NPI assigned

Dec 15, 2025

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

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Overcome Counseling PLLC

  • Mental Health Counselor
  • Kingman, AZ
  • NPI 1154285997
  NPD Authorized official

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765756800000",
    "number": "1083578827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 TOPEKA ST",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864016040",
            "telephone_number": "949-391-8333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 E BEVERLY AVE STE B",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093564",
            "telephone_number": "928-753-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SHAWNDA",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "MS, LAC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AZ",
            "license": "LAC-23345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul Yamaguchi, M.D.
• Alexander Yates
• Jessica Yim, DO
• Robyn K Yost, MA
• Kelsie Raechal Young, PHARMD
• Yucca Elementary School District #13
• Phillip Zeek, DO
• Narcedallia Miriam Zegarra, MD
• Ted Edward Zegarra, M.D.
• Joseph Debesay Zeray

• Mental Health Counselor in Kingman, AZ
• Providers in Kingman, AZ by specialty
• Mental Health Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2025; 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.