Active NPI
Jennifer Youngs
- Counselor
- Gillette, WY
National Provider Identifier
1689372732
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- PPC-1368
- Practice address
- 905 N Gurley Ave
Gillette, WY 82716-2109 - Phone
- (307) 686-0669
- NPI assigned
- Feb 17, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | WY | ||
| Counselor | 101Y00000X | PPC-1368 | WY | Primary |
Addresses
Primary practice location
905 N Gurley Ave
Gillette, WY 82716-2109
Mailing address
905 N Gurley Ave
Gillette, WY 82716-2109
Phone (307) 686-0669
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
| License | State | Type | Specialty |
|---|---|---|---|
| PPC-1368 | WY | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680048000000",
"number": "1689372732",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "905 N GURLEY AVE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827162109",
"telephone_number": "307-686-0669"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "905 N GURLEY AVE",
"city": "GILLETTE",
"state": "WY",
"postal_code": "827162109",
"telephone_number": "307-686-0669"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGS",
"first_name": "JENNIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-17",
"last_updated": "2023-03-29",
"certification_date": "2023-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "WY",
"license": null,
"primary": false
},
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "WY",
"license": "PPC-1368",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.