Individual provider Active NPI

Kristi Michelle Young, LMHC

  • Marriage & Family Therapist
  • Paducah, KY
National Provider Identifier
1821242579
Registry record updated May 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0793 Issued in KY
Practice address
619 N 30TH St
Paducah, KY 42001-4047
Phone
(270) 444-8183
Fax
(270) 444-8147
NPI assigned
Nov 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 0116881 NM
Mental Health Counselor 101YM0800X T-0131101 NM
Mental Health Counselor 101YM0800X 0138761 NM
Marriage & Family Therapist 106H00000X 0793 KY Primary

Addresses

Primary practice location

619 N 30TH St
Paducah, KY 42001-4047

Mailing address

PO Box 2875
Paducah, KY 42002-2875
Phone (270) 444-8183

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20260320000888 IN Practitioner - Marriage and Family Therapist 2769966472 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lifespring, IncGroup PAC ID 5294624508, 65 clinicians

Practice addresses (Care Compare)

818 Madison St
Rockport, IN 47635-1241
Phone (812) 649-9168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0116881NMMDMental Health Counselor
0138761NMMDMental Health Counselor
T-0131101NMMDMental Health Counselor
0793KYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Breaking Barriers Counseling, LLC Marriage & Family Therapist Current Accepting new patients
Livwell Community Health Services, Inc. Past Accepting new patients

Organizations & group practices 3

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": "1226016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652745600000",
    "number": "1821242579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2875",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420022875",
            "telephone_number": "270-444-8183",
            "fax_number": "270-444-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 N 30TH ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420014047",
            "telephone_number": "270-444-8183",
            "fax_number": "270-444-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KRISTI",
        "middle_name": "MICHELLE",
        "credential": "LMHC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-07",
        "last_updated": "2022-05-17",
        "certification_date": "2022-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0116881",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "T-0131101",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "0138761",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "KY",
            "license": "0793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.