Individual provider Active NPI

Alesa Machelle Champion-Young, MA, LPC, LCDC

  • Professional Counselor
  • Desoto, TX
National Provider Identifier
1396308664
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
74599 Issued in TX
Practice address
1405 Covington Dr
Desoto, TX 75115-7703
Phone
(214) 438-9994
NPI assigned
Apr 22, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 74599 TX Primary
Mental Health Counselor 101YM0800X TX
Addiction (Substance Use Disorder) Counselor 101YA0400X 12711 TX

Addresses

Primary practice location

1405 Covington Dr
Desoto, TX 75115-7703

Mailing address

1405 Covington Dr
Desoto, TX 75115-7703
Phone (214) 438-9994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240118004584 TX Practitioner - Mental Health Counselor 3678925252 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12711TXMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
BSW Geode Clinicians of Texas PLLC CurrentSince Apr 7, 2026 Accepting new patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Mar 12, 2025 Accepting new patients
Pathways Community Support of Texas, Inc. PastSince Oct 7, 2016 Accepting new patients

Locations

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

4645 Samuell Blvd
Dallas, TX 75228
Phone (214) 275-7393

1380 River Bend Dr
Dallas, TX 75247
Phone (214) 743-1272

2401 Callender Rd
Ste 105
Mansfield, TX 76063
Phone (214) 444-3557

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": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1396308664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 COVINGTON DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751157703",
            "telephone_number": "214-438-9994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 COVINGTON DR",
            "city": "DESOTO",
            "state": "TX",
            "postal_code": "751157703",
            "telephone_number": "214-438-9994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMPION-YOUNG",
        "first_name": "ALESA",
        "middle_name": "MACHELLE",
        "credential": "MA, LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-22",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "74599",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TX",
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12711",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Desoto, TX

Sources for this page

Verify at the official NPI Registry.