Janene Desiree Young

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

6451018584 Issued in MI

Practice address

1406 8TH St
Port Huron, MI 48060-5804

Phone

(810) 987-1258

Fax

(810) 987-3505

NPI assigned

Nov 21, 2018

Last updated

Feb 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Sacred Heart Rehabilitation Center, Inc.

  • Substance Abuse Rehabilitation Facility
  • Richmond, MI
  • NPI 1750363305
  NPD (past)

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

{
    "created_epoch": "1542758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646006400000",
    "number": "1326517137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 COLORADO ST",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401617",
            "telephone_number": "810-987-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 8TH ST",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480605804",
            "telephone_number": "810-987-1258",
            "fax_number": "810-987-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JANENE",
        "middle_name": "DESIREE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-21",
        "last_updated": "2022-02-28",
        "certification_date": "2022-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MI",
            "license": "6451018584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yehia I Elsafy M D P L C
• Guna Yerrabolu, MD
• Carrie Ann Yochum
• Young Men's Christian Association of the Blue Water Area (Blue Water YMCA)
• Gwenda Louise Young, LPC
• Johnson K Zacharias, MD
• Abida Zafar, MD
• Mary Lynn Zaremba, NP, RN
• Sandra J Zarzycki, RPH
• Tracy Marie Zdrowski, LCOTA

• Professional Counselor in Port Huron, MI
• Providers in Port Huron, MI by specialty
• Professional Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2022; 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.