Individual provider Active NPI

Melva M. Young, LPC

  • Mental Health Counselor
  • Terrytown, LA
National Provider Identifier
1174898894
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4400 Issued in LA
Practice address
1799 Stumpf Blvd
Building 4, Suite 5
Terrytown, LA 70056
Phone
(504) 504-3445
Fax
(504) 373-5474
NPI assigned
Mar 13, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 4400 LA
Professional Counselor 101YP2500X 4400 LA
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 4400 LA Primary

Addresses

Primary practice location

1799 Stumpf Blvd
Building 4, Suite 5
Terrytown, LA 70056

Mailing address

1799 Stumpf Blvd
Building 4, Suite 5
Terrytown, LA 70056
Phone (504) 344-5651

Other names 1

  • Melva McKinney-Young Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20241202000919 LA Practitioner - Mental Health Counselor 0446601470 Practice locations: Terrytown, LA

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1799 Stumpf Blvd
Suite 5
Terrytown, LA 70056-3950
Phone (504) 344-5651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4400LAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Beauty for Ashes Counseling & Wellness Center LLC Mental Health CurrentSince Aug 1, 2021 Accepting new patients
JBL Therapeutic Center, Inc. Mental Health Past Accepting new patients

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": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1174898894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD",
            "address_2": "BUILDING 4, SUITE 5",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "70056",
            "telephone_number": "504-344-5651",
            "fax_number": "504-373-5474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1799 STUMPF BLVD",
            "address_2": "BUILDING 4, SUITE 5",
            "city": "TERRYTOWN",
            "state": "LA",
            "postal_code": "70056",
            "telephone_number": "504-504-3445",
            "fax_number": "504-373-5474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MELVA",
        "middle_name": "M.",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-13",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "LA",
            "license": "4400",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "4400",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "LA",
            "license": "4400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MELVA",
            "last_name": "MCKINNEY-YOUNG",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Terrytown, LA

Sources for this page

Verify at the official NPI Registry.