Individual provider Active NPI

Amelia Young, LPC

  • Professional Counselor
  • Flower Mound, TX
National Provider Identifier
1174357024
Registry record updated Apr 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
76286 Issued in TX
Practice address
3419 Cross Timbers Rd Ste 104G
Flower Mound, TX 75028-2942
Phone
(940) 367-4923
NPI assigned
Aug 30, 2024
Last updated
Apr 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 76286 TX
Professional Counselor 101YP2500X 76286 TX Primary

Addresses

Primary practice location

3419 Cross Timbers Rd Ste 104G
Flower Mound, TX 75028-2942

Mailing address

3419 Cross Timbers Rd Ste 104G
Flower Mound, TX 75028-2942
Phone (940) 367-4923

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
76286TXMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Prairie Creek Counseling, PLLC Counselor CurrentSince Sep 8, 2024 Accepting new patients

Locations

3419 Cross Timbers Rd
Ste 104G
Flower Mound, TX 75028
Phone (214) 587-9809

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, 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": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743638400000",
    "number": "1174357024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3419 CROSS TIMBERS RD STE 104G",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282942",
            "telephone_number": "940-367-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3419 CROSS TIMBERS RD STE 104G",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750282942",
            "telephone_number": "940-367-4923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "AMELIA",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-30",
        "last_updated": "2025-04-03",
        "certification_date": "2025-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "TX",
            "license": "76286",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "76286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flower Mound, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.