Loretta L Young, LISAC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15215 Issued in AZ

Practice address

1362 S Vineyard Apt 2108
Mesa, AZ 85210-8972

Phone

(832) 491-4382

NPI assigned

Jan 8, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Edna'S Counseling Center of Hope

  • Addiction (Substance Use Disorder) Counselor
  • Phoenix, AZ
  • NPI 1578218418
  NPD Authorized official

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

{
    "created_epoch": "1641600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1477214799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 38453",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850698453",
            "telephone_number": "832-491-4382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1362 S VINEYARD APT 2108",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852108972",
            "telephone_number": "832-491-4382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LORETTA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "LISAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-08",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "AZ",
            "license": "15215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lyoung@keyscommunity.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1362 S Vineyard Apt 2108",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852108972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Danielle Young
• Hannah Young
• Julie Young, L.A.C.
• Katelyn Young, COTA/L
• Lawrence Young, MD
• Margaret Ann Young, OTD
• Matthew Glenn Young, PHARMACIST
• Rhea Young, LAC
• Ruth Anne Young, ACNP
• Shari Young, MS, SLP

• Addiction (Substance Use Disorder) Counselor in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Addiction (Substance Use Disorder) Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.