Individual provider Active NPI

Taelor F. Young, LPC

  • Professional Counselor
  • Jonesboro, AR
National Provider Identifier
1639504988
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
P1906078 Issued in AR
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

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P1906078ARMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
St. Bernards Hospital, Inc Current Accepting new patients
Silver Lining Counseling LLC Professional CurrentSince Jun 30, 2024 Accepting new patients
St Bernards Hospital Inc. CurrentSince Jan 1, 2024 Accepting new patients
St Bernards Hospital Inc CurrentSince Jan 1, 2024 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.

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

Verify at the official NPI Registry.