Young Mind Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

YOUNG MIND THERAPY, LLC

Practice address

1235 E Grand River Rd
Williamston, MI 48895-8303

Phone

(517) 588-6083

NPI assigned

Oct 11, 2019

Last updated

Oct 11, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nicole A Langdon, LMSWNPI 1164070967

Title

Clinical Social Worker

Phone

(517) 290-3774

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Nicole Langdon, LMSW Other name

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Annette Langdon, LMSW, SSW

  • Clinical Social Worker
  • Williamston, MI
  • NPI 1164070967
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1570752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1570752000000",
    "number": "1861034704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1984 LIVE OAK TRL",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488959344",
            "telephone_number": "517-290-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1235 E GRAND RIVER RD",
            "city": "WILLIAMSTON",
            "state": "MI",
            "postal_code": "488958303",
            "telephone_number": "517-588-6083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG MIND THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-11",
        "last_updated": "2019-10-11",
        "status": "A",
        "authorized_official_last_name": "LANGDON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "517-290-3774",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI 1",
            "identifier": "1164070967",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TherapyNotes",
            "affiliation": "N",
            "endpointDescription": "EHR Software for Behavioral Health",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1235 E Grand River Rd",
            "city": "Williamston",
            "state": "MI",
            "country_code": "US",
            "postal_code": "488958303",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Nicole Langdon, LMSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Carol Z Way, LMSW
• William T Mangan Jr, DO PLLC (Family Healt h Center of Williamston, PLLC)
• Williamston Compassionate Care
• Williamston Sport and Spine Chiropractic Clinic (Williamston Sport and Spine Chiropractic)
• Williamston Wellness PLLC

• Clinical Social Worker in Williamston, MI
• Providers in Williamston, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.