Individual provider Active NPI

Kirsten S. Young, LMFT

  • Marriage & Family Therapist
  • Nevada City, CA
National Provider Identifier
1770705493
Registry record updated Apr 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT42832 Issued in CA
Practice address
220 Main St Ste 5C
Nevada City, CA 95959-2527
Phone
(530) 559-7982
Fax
(530) 265-4964
NPI assigned
May 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT42832 CA Primary

Addresses

Primary practice location

220 Main St Ste 5C
Nevada City, CA 95959-2527

Mailing address

PO Box 299
Nevada City, CA 95959-0299
Phone (530) 559-7982

Other practice location 1

220 Main St
Suite 5 C
Nevada City, CA 95959-2527
Phone (530) 559-7982

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240415002065 CA Practitioner - Marriage and Family Therapist 9830538560 Practice locations: Nevada City, CA

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

220 Main St
Suite 5B
Nevada City, CA 95959-2527
Phone (530) 559-7982

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT42832CAMDMarriage & Family Therapist
42832CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524787200000",
    "number": "1770705493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 299",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959590299",
            "telephone_number": "530-559-7982",
            "fax_number": "530-265-4964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 MAIN ST STE 5C",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959592527",
            "telephone_number": "530-559-7982",
            "fax_number": "530-265-4964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Main St",
            "address_2": "Suite 5 C",
            "address_purpose": "LOCATION",
            "city": "Nevada City",
            "state": "CA",
            "postal_code": "959592527",
            "country_code": "US",
            "telephone_number": "530-559-7982",
            "fax_number": "530-265-4964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KIRSTEN",
        "middle_name": "S.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2018-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT42832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada City, CA

Sources for this page

Verify at the official NPI Registry.