Individual provider Active NPI

Ileana Isabelle Young

  • Professional Counselor
  • Boise, ID
National Provider Identifier
1538997499
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1861363 Issued in ID
Practice address
3676 N Harbor LN Ste 100
Boise, ID 83703-6919
Phone
(208) 985-2527
NPI assigned
Jul 23, 2024
Last updated
Apr 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 1861363 ID Primary

Addresses

Primary practice location

3676 N Harbor LN Ste 100
Boise, ID 83703-6919

Mailing address

846 N Ash Pine Way
Meridian, ID 83642-1213

Other practice location 1

2360 N Grey Hawk Ave
Kuna, ID 83634-3432
Phone (303) 522-8537

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

State licenses

LicenseStateTypeSpecialty
1861363IDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Idaho Counseling and Neurofeedback CurrentSince Jan 12, 2025 Accepting new patients
Free Fallin LLC Professional PastSince Jan 25, 2024 Accepting new patients

Locations

3348 E Goldstone Dr
Meridian, ID 83642
Phone (208) 571-2210

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777248000000",
    "number": "1538997499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 N ASH PINE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3676 N HARBOR LN STE 100",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837036919",
            "telephone_number": "208-985-2527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2360 N Grey Hawk Ave",
            "address_purpose": "LOCATION",
            "city": "Kuna",
            "state": "ID",
            "postal_code": "836343432",
            "country_code": "US",
            "telephone_number": "303-522-8537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ILEANA",
        "middle_name": "ISABELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-23",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "ID",
            "license": "1861363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; 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.