Modern Youth, PLLC

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

MODERN YOUTH, PLLC

Practice address

33309 1St Way S Ste a-105
Federal Way, WA 98003-6260

Phone

(253) 335-6013

NPI assigned

Dec 16, 2025

Organization subpart

No

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

Authorized official

Name

Kelly Ferguson, LMHCANPI 1255113213

Title

Provider/Owner

Phone

(253) 335-6013

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kelly Ferguson

  • Mental Health Counselor
  • Enumclaw, WA
  • NPI 1255113213
  NPD Authorized official

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

{
    "created_epoch": "1765843200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765843200000",
    "number": "1669337366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 772",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980220772",
            "telephone_number": "253-335-6013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33309 1ST WAY S STE A-105",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036260",
            "telephone_number": "253-335-6013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODERN YOUTH, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A",
        "authorized_official_last_name": "FERGUSON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "PROVIDER/OWNER",
        "authorized_official_telephone_number": "253-335-6013",
        "authorized_official_credential": "LMHCA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madelaine Miyahara
• Agatha Melchior Mlambiti, REGISTERED NURSE
• Shonna Renee Moak, PT
• Cody Moberg
• Emailine H Modahl
• Habiba Mohammadi
• Najma Mohammadi
• Zainab Mohammadi
• Mohinder Singh Badyal MD
• Ana Cristina Molina-McCleary, MEDICAL INTERPRETER

• Marriage & Family Therapist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Marriage & Family Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.