Individual provider Active NPI

Tiffani M Young, MA, LPC

  • Professional Counselor
  • Palmerton, PA
National Provider Identifier
1376187591
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC016289 Issued in PA
Practice address
576 Franklin Ave
Palmerton, PA 18071-1616
Phone
(484) 860-0069
NPI assigned
Oct 30, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Behavior Analyst 103K00000X BH004604 PA
Professional Counselor 101YP2500X PC016289 PA Primary

Addresses

Primary practice location

576 Franklin Ave
Palmerton, PA 18071-1616

Mailing address

576 Franklin Ave
Palmerton, PA 18071-1616
Phone (484) 860-0069

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240108005715 PA Practitioner - Mental Health Counselor 6305297904 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

257 Brodhead Rd
Bethlehem, PA 18017-8938
Phone (484) 526-2400

261 Harvard Ave
Palmerton, PA 18071-1226
Phone (484) 860-0069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
BH004604PAMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Nulton Diagnostic & Treatment Center, PC Current Accepting new patients
Nulton Diagnostic & Treatment Center, PC. CurrentSince Jan 1, 2024 Accepting new patients
St. Luke'S Physician Group Inc CurrentSince Mar 18, 2024 Accepting new patients
Mental Health Specialty Group PA Mental Health CurrentSince May 1, 2025 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
North Star Mental Health LLC Mental Health CurrentSince Feb 16, 2025 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Mar 18, 2024 Accepting new patients

Locations

257 Brodhead Rd
Bethlehem, PA 18017
Phone (484) 503-3057

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

214 College Park Plz
Johnstown, PA 15904
Phone (814) 262-0025

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

Organizations & group practices 7

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": "1572393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1376187591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "576 FRANKLIN AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711616",
            "telephone_number": "484-860-0069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "576 FRANKLIN AVE",
            "city": "PALMERTON",
            "state": "PA",
            "postal_code": "180711616",
            "telephone_number": "484-860-0069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TIFFANI",
        "middle_name": "M",
        "credential": "MA, LPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-30",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "PA",
            "license": "BH004604",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC016289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmerton, PA

Sources for this page

Verify at the official NPI Registry.