Active NPI
Kristine Michelle Youst
- Mental Health Counselor
- Weston, FL
National Provider Identifier
1851868756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- MH18729
- Practice address
- 2741 Executive Park Dr Ste 1
Weston, FL 33331-3641 - Phone
- (786) 543-5240
- NPI assigned
- Oct 29, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | IMH17570 | FL | |
| Mental Health Counselor | 101YM0800X | MH18729 | FL | Primary |
Addresses
Primary practice location
2741 Executive Park Dr Ste 1
Weston, FL 33331-3641
Mailing address
7341 SW 7TH St
Plantation, FL 33317-3826
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MH18729 | Other | FL | LMHC |
| IMH17570 | Other | FL | FLORIDA DEPARTMENT OF HEALTH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMH17570 | FL | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Michelle Channing PA | Current | Accepting new patients |
Locations
2741 Executive Park Dr
Ste 1
Weston, FL 33331
Phone (954) 385-6750
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.
-
- Clinical Psychologist
- Weston, FL
- NPI 1417037102
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613520000000",
"number": "1851868756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7341 SW 7TH ST",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333173826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2741 EXECUTIVE PARK DR STE 1",
"city": "WESTON",
"state": "FL",
"postal_code": "333313641",
"telephone_number": "786-543-5240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUST",
"first_name": "KRISTINE",
"middle_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-29",
"last_updated": "2021-02-17",
"certification_date": "2021-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "IMH17570",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "MH18729",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LMHC",
"identifier": "MH18729",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA DEPARTMENT OF HEALTH",
"identifier": "IMH17570",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.