Individual provider Active NPI

Taylor Jo Young, LPC

  • Professional Counselor
  • Arvada, CO
National Provider Identifier
1811540396
Registry record updated Sep 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
5738 Olde Wadsworth Blvd
Arvada, CO 80002-2535
Phone
(720) 202-9869
Fax
(720) 554-7739
NPI assigned
Jul 23, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

5738 Olde Wadsworth Blvd
Arvada, CO 80002-2535

Mailing address

5738 Olde Wadsworth Blvd
Arvada, CO 80002-2535
Phone (720) 202-9869

Other practice location 1

18425 Pony Express Dr Unit 203
Parker, CO 80134-9605
Phone (303) 805-1218 ext. 110

Other names 1

  • Taylor Jo Condon Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mindfulness Counseling PLLC Professional Current Accepting new patients
Mind Body Sport, LLC Professional PastSince Oct 1, 2022 Accepting new patients

Locations

5738 Olde Wadsworth Blvd
Arvada, CO 80002
Phone (720) 230-6863

Organizations & group practices 2

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": "1563840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693958400000",
    "number": "1811540396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5738 OLDE WADSWORTH BLVD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022535",
            "telephone_number": "720-202-9869",
            "fax_number": "720-554-7739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5738 OLDE WADSWORTH BLVD",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022535",
            "telephone_number": "720-202-9869",
            "fax_number": "720-554-7739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18425 Pony Express Dr Unit 203",
            "address_purpose": "LOCATION",
            "city": "Parker",
            "state": "CO",
            "postal_code": "801349605",
            "country_code": "US",
            "telephone_number": "303-805-1218 x110",
            "fax_number": "303-805-3679",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TAYLOR",
        "middle_name": "JO",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-23",
        "last_updated": "2023-09-06",
        "certification_date": "2023-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TAYLOR",
            "last_name": "CONDON",
            "middle_name": "JO",
            "credential": "LPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; 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.