Individual provider Active NPI

Casie Lee Young, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aldie, VA
National Provider Identifier
1144973066
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024183509 Issued in VA
Practice address
24560 Southpoint Dr Ste 260
Aldie, VA 20105-3505
Phone
(571) 248-7472
NPI assigned
Jan 31, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024183509 VA Primary

Addresses

Primary practice location

24560 Southpoint Dr Ste 260
Aldie, VA 20105-3505

Mailing address

10602 Oliver St
Fairfax, VA 22030-3914
Phone (703) 307-3839

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220325000874 DC Practitioner - Nurse Practitioner 7719372994 Reassigns benefits to 2 organizations
I20231227001196 VA Practitioner - Nurse Practitioner 7719372994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Neuropsych Wellness Center, PCGroup PAC ID 9335271725, 22 clinicians

Practice addresses (Care Compare)

3930 Pender Dr
Suite 240
Fairfax, VA 22030-0986
Phone (703) 865-8686

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Associates in Psychiatry PC Psychiatric/Mental Health CurrentSince Apr 11, 2022 Accepting new patients
Neuropsych Wellness Center, PC CurrentSince Sep 23, 2024 Accepting new patients

Locations

24560 Southpoint Dr
Ste 260
Aldie, VA 20105
Phone (571) 248-7472

2501 N Glebe Rd
Ste 303
Arlington, VA 22207
Phone (703) 485-9519

3930 Pender Dr
Ste 240
Fairfax, VA 22030
Phone (703) 865-8686

3930 Pender Dr
Ste 350
Fairfax, VA 22030
Phone (703) 865-6565

2960 Sleepy Hollow Rd
Falls Church, VA 22044
Phone (703) 304-7764

24440 Stone Springs Blvd
Sterling, VA 20166
Phone (571) 206-8696

Organizations & group practices 2

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": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643587200000",
    "number": "1144973066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10602 OLIVER ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220303914",
            "telephone_number": "703-307-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24560 SOUTHPOINT DR STE 260",
            "city": "ALDIE",
            "state": "VA",
            "postal_code": "201053505",
            "telephone_number": "571-248-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CASIE",
        "middle_name": "LEE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-31",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024183509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Aldie, VA

Sources for this page

Verify at the official NPI Registry.