Active NPI
Taylor Jo Young, LPC
- Professional Counselor
- Arvada, CO
National Provider Identifier
1811540396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mindfulness Counseling PLLC | Professional | Current | Accepting new patients |
| Mind Body Sport, LLC | Professional | Past | 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.