Individual provider Active NPI

Lori A Young, LMHP, PLADC

  • Social Worker
  • Omaha, NE
National Provider Identifier
1124399530
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
1810 Issued in NE
Practice address
820 S 75TH St
Omaha, NE 68114-4623
Phone
(402) 391-2477
Fax
(402) 397-4268
NPI assigned
Jan 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 4337 NE
Addiction (Substance Use Disorder) Counselor 101YA0400X 1223 NE
Social Worker 104100000X 1810 NE Primary

Addresses

Primary practice location

820 S 75TH St
Omaha, NE 68114-4623

Mailing address

5847 N 90TH St
Omaha, NE 68134-1856
Phone (402) 571-7148

Other practice location 1

5847 N 90th St
Omaha, NE 68134-1856
Phone (402) 571-7148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4337NEMDCounselor
1810NEMDPhysical Therapy Assistant
1223NEMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Abh Addiction & Behavioral Health SVCS, Inc Addiction (Substance Use Disorder) PastSince Jul 24, 2022 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1326758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124399530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5847 N 90TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681341856",
            "telephone_number": "402-571-7148",
            "fax_number": "402-571-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S 75TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681144623",
            "telephone_number": "402-391-2477",
            "fax_number": "402-397-4268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5847 N 90th St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681341856",
            "country_code": "US",
            "telephone_number": "402-571-7148",
            "fax_number": "402-571-7289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LORI",
        "middle_name": "A",
        "credential": "LMHP, PLADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NE",
            "license": "4337",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NE",
            "license": "1223",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NE",
            "license": "1810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.