Individual provider Active NPI

Michael Shane Young, CMHC

  • Community Health Worker
  • Bicknell, UT
National Provider Identifier
1235070764
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
14275660-6004 Issued in UT
Practice address
128 S 300 W
Bicknell, UT 84715-7722
Phone
(435) 425-3744
NPI assigned
Apr 1, 2026
Last updated
Apr 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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 14275660-6004 UT
Mental Health Counselor 101YM0800X 14275660-6004 UT
Community Health Worker 172V00000X 14275660-6004 UT Primary

Addresses

Primary practice location

128 S 300 W
Bicknell, UT 84715-7722

Mailing address

PO Box 303
Bicknell, UT 84715-0303
Phone (435) 425-3744

Other practice location 1

570 E Moqui Ln
Escalante, UT 84726-7753
Phone (435) 826-4374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wayne Community Health Centers, Inc.Group PAC ID 1254242233, shared by 3 NPIs, 13 clinicians

Practice addresses (Care Compare)

128 S 300
Bicknell, UT 84715-7722
Phone (435) 425-3744

PO Box
Suite 303
Bicknell, UT 84715-0303

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14275660-6004UTMDCommunity Health Worker

NPI Registry JSON

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

{
    "created_epoch": "1775001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1235070764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "city": "BICKNELL",
            "state": "UT",
            "postal_code": "847150303",
            "telephone_number": "435-425-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 S 300 W",
            "city": "BICKNELL",
            "state": "UT",
            "postal_code": "847157722",
            "telephone_number": "435-425-3744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "570 E Moqui Ln",
            "address_purpose": "LOCATION",
            "city": "Escalante",
            "state": "UT",
            "postal_code": "847267753",
            "country_code": "US",
            "telephone_number": "435-826-4374",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MICHAEL",
        "middle_name": "SHANE",
        "credential": "CMHC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-04-01",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "UT",
            "license": "14275660-6004",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "UT",
            "license": "14275660-6004",
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "UT",
            "license": "14275660-6004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bicknell, UT

Sources for this page

Verify at the official NPI Registry.