Individual provider Active NPI

Mikyla Young-Bayless, LMFT

  • Marriage & Family Therapist
  • Colorado Springs, CO
National Provider Identifier
1316397961
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
.000170 Issued in CO
Practice address
6547 N Academy Blvd # 1327
Colorado Springs, CO 80918-8342
Phone
(719) 257-3027
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X .000170 CO Primary

Addresses

Primary practice location

6547 N Academy Blvd # 1327
Colorado Springs, CO 80918-8342

Mailing address

6547 N Academy Blvd # 1327
Colorado Springs, CO 80918-8342
Phone (719) 257-3027

Other identifiers 1

IdentifierTypeStateIssuer
9000196293MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jun 20, 2024 through Jun 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
.000170COMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
La Luna Center, LLC PastSince Oct 20, 2019 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": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1316397961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6547 N ACADEMY BLVD # 1327",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188342",
            "telephone_number": "719-257-3027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6547 N ACADEMY BLVD # 1327",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809188342",
            "telephone_number": "719-257-3027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG-BAYLESS",
        "first_name": "MIKYLA",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CO",
            "license": ".000170",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000196293",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.