Individual provider Active NPI

Kari Leanne Young, LPC

  • Professional Counselor
  • Chesapeake, VA
National Provider Identifier
1306326756
Registry record updated Jan 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
0701007819 Issued in VA
Practice address
1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218
Phone
(757) 798-8909
NPI assigned
Aug 15, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2023

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 0701007819 VA Primary

Addresses

Primary practice location

1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218

Mailing address

1545 Crossways Blvd Ste 250
Chesapeake, VA 23320-0218
Phone (757) 798-8909

Other identifiers 2

IdentifierTypeStateIssuer
1306326756MedicaidVA
0701007819OtherVASTATE LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL https://portal.therapyappointment.com/index.cfm/public:therapistdetail?directoryId=FD748363812A4B95AD24E4337898ED8A Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20240305000568 VA Practitioner - Mental Health Counselor 9537504238 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

Practice addresses (Care Compare)

1545 Crossways Blvd
Suite 250
Chesapeake, VA 23320-0218
Phone (757) 798-8909

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0701007819VAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Young Counseling CurrentSince Jan 1, 2024 Accepting new patients
Unvaled Psychological PLLC Professional PastSince Apr 1, 2021 Accepting new patients
Liberating Lives: Christian Counseling & Psychol Professional PastSince May 20, 2018 Accepting new patients

Locations

1545 Crossways Blvd
Ste 250
Chesapeake, VA 23320
Phone (757) 206-2772

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1306326756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 CROSSWAYS BLVD STE 250",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200218",
            "telephone_number": "757-798-8909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1545 CROSSWAYS BLVD STE 250",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233200218",
            "telephone_number": "757-798-8909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KARI",
        "middle_name": "LEANNE",
        "credential": "LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007819",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1306326756",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "0701007819",
            "state": "VA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://portal.therapyappointment.com/index.cfm/public:therapistdetail?directoryId=FD748363812A4B95AD24E4337898ED8A",
            "affiliation": "N",
            "endpointDescription": "Therapy Appointment",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1545 Crossways Blvd Ste 250",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233200218",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.