Individual provider Active NPI

Bonnie Hastings Young-Turley, M.ED., LPCA

  • Counselor
  • Madisonville, KY
National Provider Identifier
1376967596
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPCCCA00216376 Issued in KY
Practice address
14 N Main St
Madisonville, KY 42431-1963
Phone
(270) 245-2205
NPI assigned
Feb 7, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPCCCA00216376 KY Primary

Addresses

Primary practice location

14 N Main St
Madisonville, KY 42431-1963

Mailing address

14 N Main St
Madisonville, KY 42431-1963
Phone (270) 245-2205

Other identifiers 1

IdentifierTypeStateIssuer
30602015MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Education

State licenses

LicenseStateTypeSpecialty
LPCCCA00216376KYMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Counseling and Wellness Center, LLC Counselor Past Accepting new patients

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": "1391731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1376967596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311963",
            "telephone_number": "270-245-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 N MAIN ST",
            "city": "MADISONVILLE",
            "state": "KY",
            "postal_code": "424311963",
            "telephone_number": "270-245-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG-TURLEY",
        "first_name": "BONNIE",
        "middle_name": "HASTINGS",
        "credential": "M.ED., LPCA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-07",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "KY",
            "license": "LPCCCA00216376",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "30602015",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madisonville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2015; 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.