Individual provider Active NPI

Shelby Makayla Young, LPCC-S

  • Mental Health Counselor
  • Blue Ash, OH
National Provider Identifier
1669021853
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
E.2303280-SUPV Issued in OH
Practice address
11161 Kenwood Rd
Blue Ash, OH 45242-1817
Phone
(513) 769-4600
NPI assigned
Sep 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X C2002950 OH
Mental Health Counselor 101YM0800X E.2303280-SUPV OH Primary

Addresses

Primary practice location

11161 Kenwood Rd
Blue Ash, OH 45242-1817

Mailing address

11161 Kenwood Rd
Blue Ash, OH 45242-1817
Phone (513) 770-4600

Other practice location 1

6406 Thornberry Ct Ste 220B
Mason, OH 45040-7880
Phone (513) 445-9959

Other practice location 2

431 Ohio Pike Ste 312
Cincinnati, OH 45255-3629
Phone (513) 770-1705

Other names 1

  • Shelby Reynolds 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
C2002950OHMDMental Health Counselor
E.2303280-SUPVOHMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Counseling Solutions, LLC CurrentSince Sep 27, 2021 Accepting new patients
Lifeway Counseling Centers, Inc. CurrentSince Feb 19, 2023 Accepting new patients
Journey Well, LLC PastSince Sep 1, 2019 Accepting new patients

Locations

11161 Kenwood Rd
Blue Ash, OH 45242
Phone (513) 769-4600

431 Ohio Pike
Ste 312
Cincinnati, OH 45255
Phone (513) 335-3650

Organizations & group practices 3

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": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1669021853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11161 KENWOOD RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421817",
            "telephone_number": "513-770-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11161 KENWOOD RD",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452421817",
            "telephone_number": "513-769-4600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6406 Thornberry Ct Ste 220B",
            "address_purpose": "LOCATION",
            "city": "Mason",
            "state": "OH",
            "postal_code": "450407880",
            "country_code": "US",
            "telephone_number": "513-445-9959",
            "fax_number": "513-725-1276",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "431 Ohio Pike Ste 312",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452553629",
            "country_code": "US",
            "telephone_number": "513-770-1705",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SHELBY",
        "middle_name": "MAKAYLA",
        "name_prefix": "Ms.",
        "credential": "LPCC-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "C2002950",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "E.2303280-SUPV",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELBY",
            "last_name": "REYNOLDS",
            "credential": "LPCC-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Blue Ash, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.