Laura Collette Young, PMHNP, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

13-108974-091 Issued in KS

Practice address

12541 Foster St
Overland Park, KS 66213-2852

Phone

(913) 327-7505

Fax

(913) 327-7054

NPI assigned

Aug 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AR, MO, KS3 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: lifestancehealth.laurayoung@154228.advancedmd-direct.com

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.

• Mental Health and Wellness on Main

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mammoth Spring, AR
  • NPI 1336872381

  MO, Psychiatry

  Medicare reassignment NPD Authorized official
• Psychiatric and Counseling Associates LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Overland Park, KS
  • NPI 1114096385
  Medicare reassignment NPD
• Youthful You Aesthetics, PLLC

  • Internal Medicine Physician
  • Mammoth Spring, AR
  • NPI 1295463867
  NPD
• Transforming Lives Counseling LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mammoth Spring, AR
  • NPI 1477079325
  NPD (past)

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

{
    "created_epoch": "1628899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728172800000",
    "number": "1689349243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152",
            "city": "BASEHOR",
            "state": "KS",
            "postal_code": "660070152",
            "telephone_number": "870-907-1060",
            "fax_number": "870-907-0707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12541 FOSTER ST",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662132852",
            "telephone_number": "913-327-7505",
            "fax_number": "913-327-7054"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8400 W 110th St Ste 250",
            "address_purpose": "LOCATION",
            "city": "Overland Park",
            "state": "KS",
            "postal_code": "662102461",
            "country_code": "US",
            "telephone_number": "913-327-7505",
            "fax_number": "913-327-7054",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "285 N Alley Ave",
            "address_purpose": "LOCATION",
            "city": "Mammoth Spring",
            "state": "AR",
            "postal_code": "725548149",
            "country_code": "US",
            "telephone_number": "870-907-1060",
            "fax_number": "870-907-0707",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "275 Main St",
            "address_purpose": "LOCATION",
            "city": "Mammoth Spring",
            "state": "AR",
            "postal_code": "725547484",
            "country_code": "US",
            "telephone_number": "870-907-1060",
            "fax_number": "870-907-0707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LAURA",
        "middle_name": "COLLETTE",
        "credential": "PMHNP, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-14",
        "last_updated": "2024-10-06",
        "certification_date": "2024-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AR",
            "license": "219232",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "13-108974-091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "na",
            "affiliation": "N",
            "endpointDescription": "na",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "275 Main St",
            "city": "Mammoth Spring",
            "state": "AR",
            "country_code": "US",
            "postal_code": "725547484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alyssa Young
• Dana E Young, DPT
• Frank Young, DDS
• Haether Young
• Jeffrey L Young, M.D.
• Lidia Young, LSCSW
• Morgan A Young
• Robert Scott Young, RT (R) (T)
• Susan Beth Young, OTR
• Victoria Maeve Young, LCSW, LSCSW

• Psychiatric/Mental Health Nurse Practitioner in Overland Park, KS
• Providers in Overland Park, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.