Organization Active NPI

Overcome Counseling PLLC

  • Mental Health Counselor
  • Kingman, AZ
National Provider Identifier
1154285997
Registry record updated Dec 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
OVERCOME COUNSELING PLLC
Practice address
1740 E Beverly Ave Ste B
Kingman, AZ 86409-3564
Phone
(928) 753-9383
NPI assigned
Dec 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2025

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

Authorized official

Name
Mrs. Shawnda Nicole Young, MSNPI 1083578827
Title
Therapist
Phone
(949) 391-8333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

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

Mailing address

812 Topeka St
Kingman, AZ 86401-6040
Phone (949) 391-8333

National Provider Directory

National Provider Directory

Locations

1740 E Beverly Ave
Ste B
Kingman, AZ 86409
Phone (928) 351-4763

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1765756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765756800000",
    "number": "1154285997",
    "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",
            "fax_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": {
        "organization_name": "OVERCOME COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-15",
        "last_updated": "2025-12-15",
        "certification_date": "2025-12-15",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SHAWNDA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "949-391-8333",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

  • 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.