Katelynn Young, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

P2208013 Issued in AR

Practice address

1312 Donaghey Ave
Conway, AR 72034-3807

Phone

(501) 450-6350

Fax

(501) 358-4932

NPI assigned

Jun 23, 2020

Last updated

Oct 15, 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

Locations

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.

• Resurrected Hope Therapy, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Conway, AR
  • NPI 1669343562
  NPD Authorized official
• BHC Pinnacle Pointe Hospital, Inc.

  dba The Pointe Outpatient Behavioral Health Services

  • Adolescent and Children Mental Health Clinic/Center
  • Searcy, AR
  • NPI 1255603973
  NPD (past)
• Christian Perspective Counseling, Inc.

  • Counseling Psychologist
  • Conway, AR
  • NPI 1336508316
  NPD (past)

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665792000000",
    "number": "1346866647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 344",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720330344",
            "telephone_number": "501-450-6350",
            "fax_number": "501-358-4932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1312 DONAGHEY AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720343807",
            "telephone_number": "501-450-6350",
            "fax_number": "501-358-4932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KATELYNN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2022-10-15",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "A2008109",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "AR",
            "license": "P2208013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Lynne Yingling
• Megan Nicole Yingling
• Billy J York, LPN PARAPROFESSIONAL
• Brittany Nicole Young, LMT
• Karen L Young, MD
• Kimberly Zamudio-Hernandez
• Ruba Zein, DO
• Tian Zhang, LPC
• Jamie Michelle Zimmerman, APRN
• Taylor Nicole Zimmerman

• Mental Health Counselor in Conway, AR
• Providers in Conway, AR by specialty
• Mental Health Counselor in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.