Individual provider Active NPI

Lesa Young, LPCC

  • Mental Health Counselor
  • Georgetown, KY
National Provider Identifier
1821537002
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
167911 Issued in KY
Practice address
204 Bevins LN Ste a
Georgetown, KY 40324-6145
Phone
(859) 951-9777
Fax
(859) 951-9779
NPI assigned
Feb 21, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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 167911 KY Primary

Addresses

Primary practice location

204 Bevins LN Ste a
Georgetown, KY 40324-6145

Mailing address

204 Bevins LN Ste a
Georgetown, KY 40324-6145
Phone (859) 951-9777

Other practice location 1

112 Gatewood Drive
Georgetown, KY 40324
Phone (859) 317-3324

Other identifiers 1

IdentifierTypeStateIssuer
7100576350MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20260325001508 KY Practitioner - Mental Health Counselor 1759865975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lesa Young Counseling, LLCGroup PAC ID 8022592245, 2 clinicians

Practice addresses (Care Compare)

204 Bevins LN
Suite a
Georgetown, KY 40324-6145
Phone (859) 951-9777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
167911KYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Lesa Young Counseling, LLC Mental Health CurrentSince Nov 22, 2020 Accepting new patients

Locations

204 Bevins Ln
Ste A
Georgetown, KY 40324
Phone (859) 951-9777

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": "1487635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1821537002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 BEVINS LN STE A",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246145",
            "telephone_number": "859-951-9777",
            "fax_number": "859-951-9779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 BEVINS LN STE A",
            "city": "GEORGETOWN",
            "state": "KY",
            "postal_code": "403246145",
            "telephone_number": "859-951-9777",
            "fax_number": "859-951-9779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Gatewood Drive",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "KY",
            "postal_code": "40324",
            "country_code": "US",
            "telephone_number": "859-317-3324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "LESA",
        "credential": "LPCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-21",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "KY",
            "license": "167911",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100576350",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, KY

Sources for this page

Verify at the official NPI Registry.