Individual provider Active NPI

Debra Jean Young, LMHC

  • Mental Health Counselor
  • Bellingham, WA
National Provider Identifier
1336469394
Registry record updated Jun 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LH 60143352 Issued in WA
Practice address
119 N Commercial St
Suite 580
Bellingham, WA 98225-4446
Phone
(360) 319-8172
NPI assigned
Jun 1, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LH 60143352 WA Primary

Addresses

Primary practice location

119 N Commercial St
Suite 580
Bellingham, WA 98225-4446

Mailing address

533 S 39TH St
Bellingham, WA 98229-2934
Phone (360) 319-8172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20240210000467 WA Practitioner - Mental Health Counselor 0941643506 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LH 60143352WAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Associates in Mental Health Mental Health CurrentSince Jan 1, 2024 Accepting new patients

Locations

2215 Elm St
Bellingham, WA 98225
Phone (360) 920-2053

1155 N State St
Ste 404
Bellingham, WA 98225

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": "1275350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275350400000",
    "number": "1336469394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "533 S 39TH ST",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982292934",
            "telephone_number": "360-319-8172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 N COMMERCIAL ST",
            "address_2": "SUITE 580",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982254446",
            "telephone_number": "360-319-8172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "DEBRA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-01",
        "last_updated": "2010-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH 60143352",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellingham, WA

Sources for this page

Verify at the official NPI Registry.