Individual provider Active NPI

Wenoka Young, LAC

  • Mental Health Counselor
  • Searcy, AR
National Provider Identifier
1134402613
Registry record updated Oct 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
A1007075 Issued in AR
Practice address
311 N Spruce St
Searcy, AR 72143-7704
Phone
(501) 268-2812
Fax
(501) 268-2824
NPI assigned
Sep 21, 2011
Last updated
Oct 21, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X A1007075 AR Primary

Addresses

Primary practice location

311 N Spruce St
Searcy, AR 72143-7704

Mailing address

311 N Spruce St
Searcy, AR 72143-7704
Phone (501) 268-2812

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231214000602 AR Practitioner - Mental Health Counselor 5294184339 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arisa Health IncGroup PAC ID 2264853829, 65 clinicians

Practice addresses (Care Compare)

3302 E Moore Ave
Searcy, AR 72143-5099
Phone (870) 919-6320

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A1007075ARMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Arisa Health, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Arisa Health, Inc. Mental Health CurrentSince Jan 1, 2024 Accepting new patients
Maxus Inc Mental Health Past Accepting new patients

Locations

2707 Browns Ln
Jonesboro, AR 72401
Phone (870) 972-4000

3302 E Moore Ave
Searcy, AR 72143
Phone (501) 236-0130

3302 E Moore Ave
Ofc 5
Searcy, AR 72143

2400 S 48th St
Springdale, AR 72762
Phone (479) 725-5115

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571616000000",
    "number": "1134402613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 N SPRUCE ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437704",
            "telephone_number": "501-268-2812",
            "fax_number": "501-268-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N SPRUCE ST",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437704",
            "telephone_number": "501-268-2812",
            "fax_number": "501-268-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "WENOKA",
        "credential": "LAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-21",
        "last_updated": "2019-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A1007075",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.