Active NPI
Taelor F. Young, LPC
- Professional Counselor
- Jonesboro, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- P1906078
- Practice address
- 319 S Church St
Jonesboro, AR 72401-2913 - Phone
- (870) 790-1707
- NPI assigned
- Sep 5, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | AR | ||
| Clinical Social Worker | 1041C0700X | P1906078 | AR | |
| Case Manager/Care Coordinator | 171M00000X | |||
| Professional Counselor | 101YP2500X | P1906078 | AR | Primary |
Addresses
Primary practice location
319 S Church St
Jonesboro, AR 72401-2913
Mailing address
501 Southwest Dr # A1
Jonesboro, AR 72401-5858
Phone (870) 930-9090
Other practice location 1
615 E Matthews Ave
Jonesboro, AR 72401-3145
Phone (870) 494-5568
Other practice location 2
2707 Browns Ln
Suite 2
Jonesboro, AR 72401-7213
Phone (870) 972-4939
Other practice location 3
3700 Access Rd
Jonesboro, AR 72401-8225
Phone (870) 972-4828
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P1906078 | AR | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Bernards Hospital, Inc | Current | Accepting new patients | |
| Silver Lining Counseling LLC | Professional | Current | Accepting new patients |
| St Bernards Hospital Inc. | Current | Accepting new patients | |
| St Bernards Hospital Inc | Current | Accepting new patients |
Locations
1201 Fleming Ave
Jonesboro, AR 72401
Phone (870) 932-0440
501 Southwest Dr
Ste A1
Jonesboro, AR 72401
Phone (870) 790-1707
225 E Washington Ave
Jonesboro, AR 72401
Phone (870) 207-1630
615 E Matthews Ave
Jonesboro, AR 72401
Phone (870) 494-5568
319 S Church St
Jonesboro, AR 72401
Phone (870) 790-1707
2712 E Johnson Ave
Jonesboro, AR 72405
Phone (870) 268-4107
Organizations & group practices 4
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.
-
- Professional Counselor
- Jonesboro, AR
- NPI 1265275952
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1346301306
-
dba St Bernards Medical Center
- General Acute Care Hospital
- Jonesboro, AR
- NPI 1396053096
-
dba St. Bernards Pregnancy Clinic
- Obstetrics Physician
- Jonesboro, AR
- NPI 1518327287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1378339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754438400000",
"number": "1639504988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 SOUTHWEST DR # A1",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724015858",
"telephone_number": "870-930-9090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 S CHURCH ST",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724012913",
"telephone_number": "870-790-1707"
}
],
"practiceLocations": [
{
"address_1": "615 E Matthews Ave",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "AR",
"postal_code": "724013145",
"country_code": "US",
"telephone_number": "870-494-5568",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2707 Browns Ln",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "AR",
"postal_code": "724017213",
"country_code": "US",
"telephone_number": "870-972-4939",
"fax_number": "870-972-4911",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3700 Access Rd",
"address_purpose": "LOCATION",
"city": "Jonesboro",
"state": "AR",
"postal_code": "724018225",
"country_code": "US",
"telephone_number": "870-972-4828",
"fax_number": "870-932-1204",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "TAELOR",
"middle_name": "F.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-09-05",
"last_updated": "2025-08-06",
"certification_date": "2025-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AR",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AR",
"license": "P1906078",
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "AR",
"license": "P1906078",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2025; 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.