Amelia Bumgarner-Young, MS, LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC.0011602 Issued in CO

Practice address

1111 Huntington Ave
Dacono, CO 80514-8545

Phone

(720) 600-1539

NPI assigned

Apr 6, 2009

Last updated

Nov 15, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Krueger Emh Inc.

  dba Ellie Mental Health

  • Mental Health Counselor
  • Broomfield, CO
  • NPI 1114640356
  NPD

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1780826701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 HUNTINGTON AVE",
            "city": "DACONO",
            "state": "CO",
            "postal_code": "805148545",
            "telephone_number": "720-600-1539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 HUNTINGTON AVE",
            "city": "DACONO",
            "state": "CO",
            "postal_code": "805148545",
            "telephone_number": "720-600-1539"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3303 W 144th Ave Unit 204",
            "address_purpose": "LOCATION",
            "city": "Broomfield",
            "state": "CO",
            "postal_code": "800239601",
            "country_code": "US",
            "telephone_number": "720-709-2810",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUMGARNER-YOUNG",
        "first_name": "AMELIA",
        "name_prefix": "Ms.",
        "credential": "MS, LPC, NCC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NC",
            "license": "2255",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CO",
            "license": "LPC.0011602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven F Barnholdt, CMT
• Angela Michele Bartges, LCSW
• Catholic Health Initiatives Colorado (Centura Health Physician Group Dacono Women's Health)
• Christin Marie Colvin
• Dacono Drug
• Clint Flanagan, MD
• Carolyn M Fronczak, M.D.

• Professional Counselor in Dacono, CO
• Providers in Dacono, CO by specialty
• Professional Counselor in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.