Individual provider Active NPI

Roselyn Abellera Young, LMHC

  • Mental Health Counselor
  • Tequesta, FL
National Provider Identifier
1861179228
Registry record updated Jun 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
MH21623 Issued in FL
Practice address
10555 SE Terrapin PL Apt 206F
Tequesta, FL 33469-1572
Phone
(404) 862-0284
NPI assigned
Jun 28, 2023
Last updated
Jun 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 28, 2023

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 MH21623 FL Primary

Addresses

Primary practice location

10555 SE Terrapin PL Apt 206F
Tequesta, FL 33469-1572

Mailing address

10555 SE Terrapin PL Apt 206F
Tequesta, FL 33469-1572
Phone (404) 862-0284

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20240821000487 FL Practitioner - Mental Health Counselor 0446798540 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quality BHS Florida LLCGroup PAC ID 4082030721, 26 clinicians

Practice addresses (Care Compare)

100 S Ashley Dr
Suite 600
Tampa, FL 33602-5300
Phone (305) 250-2435

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MH21623FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Quality BHS Florida, LLC CurrentSince Jul 1, 2024 Accepting new patients
Mtca Psychological Services P.a. CurrentSince Aug 4, 2024 Accepting new patients
Telos Health Systems FL LLC Mental Health CurrentSince May 16, 2025 Accepting new patients

Locations

1001 S Beach St
Daytona Beach, FL 32114
Phone (386) 250-3334

7091 Atlantic Ave
Delray Beach, FL 33446
Phone (561) 558-2149

4250 66th St N
Kenneth City, FL 33709
Phone (350) 250-2435

5860 W Junior College Rd
Key West, FL 33040
Phone (305) 293-1299

615 Crescent Executive Ct
Ste 100
Lake Mary, FL 32746
Phone (201) 217-6777

16853 NE 2nd Ave
Ste S304
North Miami Beach, FL 33162

1501 SE 24th Rd
Ocala, FL 34471
Phone (352) 257-7777

100 S Ashley Dr
Ste 600
Tampa, FL 33602
Phone (813) 766-4218

2180 10th Ave
Vero Beach, FL 32960
Phone (772) 564-9511

980 Sylvan Ave
Englewood Cliffs, NJ 07632
Phone (201) 217-6777

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1687910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687910400000",
    "number": "1861179228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10555 SE TERRAPIN PL APT 206F",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334691572",
            "telephone_number": "404-862-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10555 SE TERRAPIN PL APT 206F",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334691572",
            "telephone_number": "404-862-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ROSELYN",
        "middle_name": "ABELLERA",
        "credential": "LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-28",
        "last_updated": "2023-06-28",
        "certification_date": "2023-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH21623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tequesta, FL

Sources for this page

Verify at the official NPI Registry.