Active NPI
Anita Louise Young, MED LPC LMFT
- Marriage & Family Therapist
- Rogers, AR
National Provider Identifier
1235149162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- M9Z12040
- Practice address
- 318 West Poplar
Rogers, AR 72756 - Phone
- (479) 986-8655
- Fax
- (479) 633-9398
- NPI assigned
- Aug 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | P9302003 | AR | |
| Marriage & Family Therapist | 106H00000X | M9Z12040 | AR | Primary |
Addresses
Primary practice location
318 West Poplar
Rogers, AR 72756
Mailing address
318 West Poplar
Rogers, AR 72756
Phone (479) 986-8655
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
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P9302003 | AR | MD | Professional Counselor |
| M9Z12040 | AR | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fresh Roots, Inc. | Professional | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1235149162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "318 WEST POPLAR",
"city": "ROGERS",
"state": "AR",
"postal_code": "72756",
"telephone_number": "479-986-8655",
"fax_number": "479-633-9398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 WEST POPLAR",
"city": "ROGERS",
"state": "AR",
"postal_code": "72756",
"telephone_number": "479-986-8655",
"fax_number": "479-633-9398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ANITA",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "MED LPC LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-09",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P9302003",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AR",
"license": "M9Z12040",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.