Active NPI
Leanne Young, MA, LCPC
- Professional Counselor
- Missoula, MT
National Provider Identifier
1740328210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 299
- Practice address
- 229 Keith Ave
Missoula, MT 59801-4307 - Phone
- (406) 360-3262
- NPI assigned
- Feb 4, 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 299 | MT | Primary |
Addresses
Primary practice location
229 Keith Ave
Missoula, MT 59801-4307
Mailing address
229 Keith Ave
Missoula, MT 59801-4307
Phone (406) 360-3262
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 07445-3 | Other | MT | BLUE CROSSBLUE SHIELD MT |
| 0256282 | Medicaid | MT |
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299 | MT | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713484800000",
"number": "1740328210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 KEITH AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598014307",
"telephone_number": "406-360-3262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "229 KEITH AVE",
"city": "MISSOULA",
"state": "MT",
"postal_code": "598014307",
"telephone_number": "406-360-3262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "LEANNE",
"name_prefix": "Ms.",
"credential": "MA, LCPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-04",
"last_updated": "2024-04-19",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "MT",
"license": "299",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSSBLUE SHIELD MT",
"identifier": "07445-3",
"state": "MT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0256282",
"state": "MT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Missoula, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.