Individual provider Active NPI

Diane W. Younkins, L.C.P.C.

  • Mental Health Counselor
  • Frederick, MD
National Provider Identifier
1750523825
Registry record updated Jan 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LC4925 Issued in MD
Practice address
703 W. Patrick St.
Frederick, MD 21701
Phone
(301) 662-8908
Fax
(301) 791-5032
NPI assigned
Apr 3, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LC4925 MD Primary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LC4925 MD

Addresses

Primary practice location

703 W. Patrick St.
Frederick, MD 21701

Mailing address

PO Box 435
Jefferson, MD 21755-0435
Phone (301) 834-9393

Other practice location 1

19514 Keep Tryst Rd
Knoxville, MD 21758-1322
Phone (301) 834-9393

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC4925MDMDProfessional Counselor

NPI Registry JSON

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

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611878400000",
    "number": "1750523825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 435",
            "city": "JEFFERSON",
            "state": "MD",
            "postal_code": "217550435",
            "telephone_number": "301-834-9393",
            "fax_number": "301-834-9393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 W. PATRICK ST.",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "21701",
            "telephone_number": "301-662-8908",
            "fax_number": "301-791-5032"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19514 Keep Tryst Rd",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "MD",
            "postal_code": "217581322",
            "country_code": "US",
            "telephone_number": "301-834-9393",
            "fax_number": "301-834-9393",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNKINS",
        "first_name": "DIANE",
        "middle_name": "W.",
        "name_prefix": "Mrs.",
        "credential": "L.C.P.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-03",
        "last_updated": "2021-01-29",
        "certification_date": "2021-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "LC4925",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4925",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.