Individual provider Active NPI

Sara Kinley Mullen Young, LPC

  • Mental Health Counselor
  • Norfolk, VA
National Provider Identifier
1366972416
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
0701007002 Issued in VA
Practice address
8241 Simons Dr
Norfolk, VA 23505-1644
Phone
(757) 650-6897
NPI assigned
Jun 12, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 0701007002 VA
Mental Health Counselor 101YM0800X 0701007002 VA Primary

Addresses

Primary practice location

8241 Simons Dr
Norfolk, VA 23505-1644

Mailing address

8241 Simons Dr
Norfolk, VA 23505-1644
Phone (757) 650-6897

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Skmy Therapy LLC Mental Health CurrentSince Oct 20, 2024 Accepting new patients
City of Chesapeake CurrentSince Jan 1, 2024 Accepting new patients
City of Chesapeake CurrentSince Jan 1, 2024 Accepting new patients

Locations

224 Great Bridge Blvd
Chesapeake, VA 23320
Phone (757) 547-9334

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": "1497225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1366972416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8241 SIMONS DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235051644",
            "telephone_number": "757-650-6897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8241 SIMONS DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235051644",
            "telephone_number": "757-650-6897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SARA",
        "middle_name": "KINLEY MULLEN",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-12",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0701007002",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "VA",
            "license": "0701007002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.