Active NPI
Karen M. Young, LMFT
- Marriage & Family Therapist
- Montebello, CA
National Provider Identifier
1720208143
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 50631
- Practice address
- 1447 W Beverly Blvd
Montebello, CA 90640 - Phone
- (626) 377-2272
- Fax
- (626) 270-4164
- NPI assigned
- Apr 26, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 50631 | CA | Primary |
Addresses
Primary practice location
1447 W Beverly Blvd
Montebello, CA 90640
Mailing address
417 E. Mission Rd., #16
Alhambra, CA 91801
Phone (626) 282-0358
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CBSC588 | Other | CA | LA DMH PROVIDER |
| 00007302 | Medicaid | CA |
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 |
|---|---|---|---|
| MFC 50631 | CA | MD | Marriage & Family Therapist |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527033600000",
"number": "1720208143",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 E. MISSION RD., #16",
"city": "ALHAMBRA",
"state": "CA",
"postal_code": "91801",
"telephone_number": "626-282-0358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1447 W BEVERLY BLVD",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "90640",
"telephone_number": "626-377-2272",
"fax_number": "626-270-4164"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "KAREN",
"middle_name": "M.",
"credential": "LMFT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2018-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 50631",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LA DMH PROVIDER",
"identifier": "CBSC588",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00007302",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.