NPIMap

Organization Active NPI

Young Clinical Services

  • Professional Counselor
  • Fortville, IN
National Provider Identifier
1497437974
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
YOUNG CLINICAL SERVICES
Practice address
412 S Maple St Ste 103
Fortville, IN 46040-1681
Phone
(317) 360-5641
NPI assigned
Aug 3, 2023
Last updated
Aug 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Mitchell J. Young, LMHCNPI 1609006766
Title
Owner and Counselor
Phone
(317) 360-5641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

412 S Maple St Ste 103
Fortville, IN 46040-1681

Mailing address

412 S Maple St Ste 103
Fortville, IN 46040-1681
Phone (317) 360-5641

Other practice location 1

141 W Green Meadows Dr Ste 2
Greenfield, IN 46140-3082
Phone (317) 360-5355

National Provider Directory

National Provider Directory

Locations

412 S Maple St
Ste 103
Fortville, IN 46040
Phone (317) 360-5355

141 W Green Meadows Dr
Ste 2
Greenfield, IN 46140
Phone (317) 252-0674

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1497437974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "412 S MAPLE ST STE 103",
            "city": "FORTVILLE",
            "state": "IN",
            "postal_code": "460401681",
            "telephone_number": "317-360-5641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 S MAPLE ST STE 103",
            "city": "FORTVILLE",
            "state": "IN",
            "postal_code": "460401681",
            "telephone_number": "317-360-5641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "141 W Green Meadows Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Greenfield",
            "state": "IN",
            "postal_code": "461403082",
            "country_code": "US",
            "telephone_number": "317-360-5355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "YOUNG CLINICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-03",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MITCHELL",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER AND COUNSELOR",
        "authorized_official_telephone_number": "317-360-5641",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fortville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2023; 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.