Active NPI
Bonnie Hastings Young-Turley, M.ED., LPCA
- Counselor
- Madisonville, KY
National Provider Identifier
1376967596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPCCCA00216376
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30602015 | Medicaid | KY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| LPCCCA00216376 | KY | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Counselor
- Madisonville, KY
- NPI 1215329453
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.