Active NPI
Kristi Michelle Young, LMHC
- Marriage & Family Therapist
- Paducah, KY
National Provider Identifier
1821242579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 0793
- 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
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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0116881 | NM | MD | Mental Health Counselor |
| 0138761 | NM | MD | Mental Health Counselor |
| T-0131101 | NM | MD | Mental Health Counselor |
| 0793 | KY | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Community/Behavioral Health Agency
- Jeffersonville, IN
- NPI 1851489942
-
- Marriage & Family Therapist
- Richland, IN
- NPI 1104562503
-
- Multi-Specialty Clinic/Center
- Paducah, KY
- NPI 1396749917
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.