Individual provider Active NPI

Taylor Jordis Young, LPC

  • Professional Counselor
  • Stevens Point, WI
National Provider Identifier
1275063547
Registry record updated May 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
7680-125 Issued in WI
Practice address
2417 Post Rd
Stevens Point, WI 54481-6124
Phone
(920) 245-5347
NPI assigned
Jun 19, 2017
Last updated
May 12, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 7680-125 WI Primary

Addresses

Primary practice location

2417 Post Rd
Stevens Point, WI 54481-6124

Mailing address

3316 Whiting Ave
Stevens Point, WI 54481-5142

Other practice location 1

501 Division St
Wausau, WI 54403-6206
Phone (715) 301-0667

Other names 1

  • Taylor Jordis Herrman Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20240205002546 WI Practitioner - Mental Health Counselor 5991148108 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3398 E Maria Dr
Stevens Point, WI 54481-1362
Phone (715) 341-7441

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7680-125WIMDProfessional Counselor
7680WIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jan 22, 2024 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jan 22, 2024 Accepting new patients
The Caring Tree LLC Past Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

209 Prentice St N
Stevens Point, WI 54481
Phone (715) 344-4611

3398 E Maria Dr
Stevens Point, WI 54481
Phone (715) 341-7441

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1497830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652313600000",
    "number": "1275063547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316 WHITING AVE",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544815142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2417 POST RD",
            "city": "STEVENS POINT",
            "state": "WI",
            "postal_code": "544816124",
            "telephone_number": "920-245-5347"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Division St",
            "address_purpose": "LOCATION",
            "city": "Wausau",
            "state": "WI",
            "postal_code": "544036206",
            "country_code": "US",
            "telephone_number": "715-301-0667",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TAYLOR",
        "middle_name": "JORDIS",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-19",
        "last_updated": "2022-05-12",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "WI",
            "license": "7680-125",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "HERRMAN",
            "middle_name": "JORDIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Stevens Point, WI

Sources for this page

Verify at the official NPI Registry.