Active NPI
Patricia Marie Youngs, LMHC
- Mental Health Counselor
- North Kingstown, RI
National Provider Identifier
1215088653
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MHC00248
- Practice address
- 1130 Ten Rod Rd
A 102
North Kingstown, RI 02852-4161 - Phone
- (491) 219-9400
- Fax
- (401) 267-0010
- NPI assigned
- Jan 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MHC00248 | RI | Primary |
| Mental Health Counselor | 101YM0800X | MH6685 | FL |
Addresses
Primary practice location
1130 Ten Rod Rd
A 102
North Kingstown, RI 02852-4161
Mailing address
9 Sprague St
Greenville, RI 02828-2112
Phone (401) 219-9400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29887-0 | Other | RI | BLUE CROSS BLUE SHIELD |
| 412855 | Other | RI | BLUE CHIP |
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
| License | State | Type | Specialty |
|---|---|---|---|
| MH6685 | FL | MD | Mental Health Counselor |
| MHC00248 | RI | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215088653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SPRAGUE ST",
"city": "GREENVILLE",
"state": "RI",
"postal_code": "028282112",
"telephone_number": "401-219-9400",
"fax_number": "401-267-0105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1130 TEN ROD RD",
"address_2": "A 102",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028524161",
"telephone_number": "491-219-9400",
"fax_number": "401-267-0010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGS",
"first_name": "PATRICIA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "LMHC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "RI",
"license": "MHC00248",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH6685",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "29887-0",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CHIP",
"identifier": "412855",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in North Kingstown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.