Renee Pauline Young

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1136 Issued in OK

Practice address

222 E Grand Ave Ste 300
Ponca City, OK 74601-4316

Phone

(405) 939-0559

Fax

(580) 916-9538

NPI assigned

Sep 14, 2012

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

Practice roles

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.

• Renee P Young, Ms, LMFT, LLC

  • Marriage & Family Therapist
  • Ponca City, OK
  • NPI 1275014847

  Mental Health

  NPD (past) Authorized official
• Healing Heart and Mind Counseling, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ponca City, OK
  • NPI 1821403643
  NPD (past)

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1396095501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2412 DONNER AVE",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746042811",
            "telephone_number": "580-304-2069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 E GRAND AVE STE 300",
            "city": "PONCA CITY",
            "state": "OK",
            "postal_code": "746014316",
            "telephone_number": "405-939-0559",
            "fax_number": "580-916-9538"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Ponca City",
            "state": "OK",
            "postal_code": "746012827",
            "country_code": "US",
            "telephone_number": "580-762-7561",
            "fax_number": "580-762-2576",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "RENEE",
        "middle_name": "PAULINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-14",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OK",
            "license": "1136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Wright, PT, DPT
• Kathryn G Wright, RN
• Stephanie Lynn Wright
• Cammie Ladawn Wyckoff, RN
• Krista M Wynn
• Brian James Zwanziger, O.D.
• Jason Zwink

• Mental Health Counselor in Ponca City, OK
• Providers in Ponca City, OK by specialty
• Mental Health Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; 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.