Individual provider Active NPI

Cristiane Lima Young, LMHC

  • Mental Health Counselor
  • Tamarac, FL
National Provider Identifier
1780900035
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LMHC 7065 Issued in FL
Practice address
8333 W McNab Rd Ste 212
Tamarac, FL 33321-3203
Phone
(585) 582-6234
Fax
(954) 720-1009
NPI assigned
Apr 12, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LMHC 7065 FL Primary

Addresses

Primary practice location

8333 W McNab Rd Ste 212
Tamarac, FL 33321-3203

Mailing address

2342 NW 34TH Ter
Coconut Creek, FL 33066-2250
Phone (954) 829-2851

Other practice location 1

7310 W McNab Rd Ste 107
Tamarac, FL 33321-5327
Phone (954) 829-2851

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240718004577 FL Practitioner - Mental Health Counselor 4082159751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
State University of Ny Upstate Medical University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

8333 W McNab Rd
Suite 212
Tamarac, FL 33321-3203
Phone (954) 720-4350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMHC 7065FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Youngs Mental Health CurrentSince Jun 8, 2024 Accepting new patients

Locations

8333 W McNab Rd
Ste 212
Tamarac, FL 33321
Phone (954) 720-4350

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1271030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710374400000",
    "number": "1780900035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2342 NW 34TH TER",
            "city": "COCONUT CREEK",
            "state": "FL",
            "postal_code": "330662250",
            "telephone_number": "954-829-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8333 W MCNAB RD STE 212",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333213203",
            "telephone_number": "585-582-6234",
            "fax_number": "954-720-1009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7310 W McNab Rd Ste 107",
            "address_purpose": "LOCATION",
            "city": "Tamarac",
            "state": "FL",
            "postal_code": "333215327",
            "country_code": "US",
            "telephone_number": "954-829-2851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CRISTIANE",
        "middle_name": "LIMA",
        "name_prefix": "Mrs.",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-12",
        "last_updated": "2024-03-14",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "LMHC 7065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tamarac, FL

Sources for this page

Verify at the official NPI Registry.