Organization Active NPI

Young Path Counseling

  • Mental Health Counselor
  • Chicago Heights, IL
National Provider Identifier
1285313635
Registry record updated Jul 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
YOUNG PATH COUNSELING
Practice address
1209 Wilson Ave
Chicago Heights, IL 60411-2438
Phone
(773) 494-0350
NPI assigned
Jul 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2023

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

Authorized official

Name
Raenette YoungNPI 1760150270
Title
Counselor
Phone
(773) 494-0350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1209 Wilson Ave
Chicago Heights, IL 60411-2438

Mailing address

1209 Wilson Ave
Chicago Heights, IL 60411-2438
Phone (773) 494-0350

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1689206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689206400000",
    "number": "1285313635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1209 WILSON AVE",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112438",
            "telephone_number": "773-494-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1209 WILSON AVE",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604112438",
            "telephone_number": "773-494-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG PATH COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-13",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "RAENETTE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "773-494-0350"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.