Individual provider Active NPI

Lauren Jean Young, ND

  • Naturopath
  • Manchester, CT
National Provider Identifier
1639330335
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
NaturopathTaxonomy code 175F00000X
License
000397 Issued in CT
Practice address
315 East Center St
Manchester, CT 06040
Phone
(860) 533-0179
Fax
(860) 812-2025
NPI assigned
Jun 24, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X 000397 CT Primary

Addresses

Primary practice location

315 East Center St
Manchester, CT 06040

Mailing address

PO Box 8228
Manchester, CT 06040
Phone (860) 533-0179

Other names 1

  • Dr. Lauren Jean Gouin Former name

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
000397CTMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Vitali Wellness, LLC Current Accepting new patients
Collaborative Natural Health Partners, LLC Naturopath Current Accepting new patients

Locations

1 Northwestern Dr
Bloomfield, CT 06002
Phone (860) 243-5815

131 New London Tpke
Ste 323
Glastonbury, CT 06033
Phone (860) 837-0204

315 E Center St
Manchester, CT 06040
Phone (860) 533-0179

71 East Ave
Ste A
Norwalk, CT 06851
Phone (203) 838-5322

107 Wilcox Rd
Ste 103
Stonington, CT 06378
Phone (860) 533-0179

244 Farms Village Rd
Ste L
West Simsbury, CT 06092

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1214265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408320000000",
    "number": "1639330335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8228",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-533-0179",
            "fax_number": "860-812-2025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 EAST CENTER ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "06040",
            "telephone_number": "860-533-0179",
            "fax_number": "860-812-2025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LAUREN",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "ND",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-24",
        "last_updated": "2014-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175F00000X",
            "taxonomy_group": "",
            "desc": "Naturopath",
            "state": "CT",
            "license": "000397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "GOUIN",
            "middle_name": "JEAN",
            "prefix": "DR.",
            "credential": "ND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.