Active NPI
Leslie Marie Young, LPCC
- Professional Counselor
- Becker, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPCC00596
- Practice address
- 14362 107TH St SE
Becker, MN 55308-8905 - Phone
- (182) 831-3715
- NPI assigned
- Jun 4, 2013
- Last updated
- Dec 26, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPCC00596 | MN | Primary |
Addresses
Primary practice location
14362 107TH St SE
Becker, MN 55308-8905
Mailing address
14362 107TH St SE
Becker, MN 55308-8905
Phone (182) 831-3715
Other practice location 1
13880 Business Center Dr NW Ste 100
Elk River, MN 55330-4668
Phone (763) 355-2808
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730526419 | Medicaid | MN |
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 |
|---|---|---|---|
| LPCC00596 | MN | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Blue Sky Mental Health PLLC | Professional | Current | Accepting new patients |
| Sherburne County | Past | Accepting new patients | |
| Sherburne County | Past | Accepting new patients |
Locations
161 4th St
Ste B
Albany, MN 56307
Phone (320) 840-0020
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Becker, MN
- NPI 1386109957
-
dba Sherburne County Health & Human Services
- Case Management Agency
- Elk River, MN
- NPI 1194008060
-
dba Sherburne County HHS/Public Health Division
- Public Health or Welfare Agency
- Elk River, MN
- NPI 1235297946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735171200000",
"number": "1730526419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14362 107TH ST SE",
"city": "BECKER",
"state": "MN",
"postal_code": "553088905",
"telephone_number": "182-831-3715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14362 107TH ST SE",
"city": "BECKER",
"state": "MN",
"postal_code": "553088905",
"telephone_number": "182-831-3715"
}
],
"practiceLocations": [
{
"address_1": "13880 Business Center Dr NW Ste 100",
"address_purpose": "LOCATION",
"city": "Elk River",
"state": "MN",
"postal_code": "553304668",
"country_code": "US",
"telephone_number": "763-355-2808",
"fax_number": "763-765-4096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "LESLIE",
"middle_name": "MARIE",
"credential": "LPCC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-04",
"last_updated": "2024-12-26",
"certification_date": "2024-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MN",
"license": "LPCC00596",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1730526419",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Becker, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.