Organization Active NPI

Natasha Young, LLC

Doing business as Art Therapy Missouri

  • Mental Health Counselor
  • Columbia, MO
National Provider Identifier
1154906063
Registry record updated Aug 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
NATASHA YOUNG, LLC
Doing business as
Art Therapy Missouri
Practice address
1200 Hulen Dr
Columbia, MO 65203-1419
Phone
(812) 319-8422
NPI assigned
Mar 11, 2021
Last updated
Aug 30, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2021

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

Authorized official

Name
Ms. Natasha K Young, LPC, LMHC, ATR-BCNPI 1922483692
Title
Owner/Licensed Counselor
Phone
(573) 340-5057

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Mental Health Counselor 101YM0800X NU Primary
Professional Counselor 101YP2500X NU

Addresses

Primary practice location

1200 Hulen Dr
Columbia, MO 65203-1419

Mailing address

1200 Hulen Dr
Columbia, MO 65203-1419
Phone (812) 319-8422

Other identifiers 1

IdentifierTypeStateIssuer
490074897MedicaidMO

Other names 1

  • Art Therapy Missouri Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250723003562 MO Part B Supplier - Clinic/Group Practice 9032625231 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, MO

National Provider Directory

National Provider Directory

Locations

2401 Bernadette Dr
Ste 201
Columbia, MO 65203
Phone (573) 289-2167

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630281600000",
    "number": "1154906063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 HULEN DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652031419",
            "telephone_number": "812-319-8422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 HULEN DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652031419",
            "telephone_number": "812-319-8422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATASHA YOUNG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-08-30",
        "certification_date": "2021-08-30",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "NATASHA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER/LICENSED COUNSELOR",
        "authorized_official_telephone_number": "573-340-5057",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LMHC, ATR-BC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "490074897",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Art Therapy Missouri",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Art Therapy Missouri",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Columbia, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.