Active NPI
Kathleen A. Youngs, MA, LPC, LIMHP
- Mental Health Counselor
- Gering, NE
National Provider Identifier
1912926270
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- LIMHP 344
- Practice address
- 955 Country Club Rd Ste B6
Gering, NE 69341-1765 - Phone
- (308) 631-8647
- Fax
- (308) 632-5809
- NPI assigned
- Jul 18, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1719 | NE | |
| Mental Health Counselor | 101YM0800X | 1036 | NE | |
| Mental Health Counselor | 101YM0800X | LIMHP 344 | NE | Primary |
Addresses
Primary practice location
955 Country Club Rd Ste B6
Gering, NE 69341-1765
Mailing address
PO Box 974
Scottsbluff, NE 69363-0974
Phone (308) 631-8647
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025397600 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LIMHP 344 | NE | MD | Mental Health Counselor |
| 1719 | NE | MD | Physical Therapist |
| 1036 | NE | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303430400000",
"number": "1912926270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 974",
"city": "SCOTTSBLUFF",
"state": "NE",
"postal_code": "693630974",
"telephone_number": "308-631-8647"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "955 COUNTRY CLUB RD STE B6",
"city": "GERING",
"state": "NE",
"postal_code": "693411765",
"telephone_number": "308-631-8647",
"fax_number": "308-632-5809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNGS",
"first_name": "KATHLEEN",
"middle_name": "A.",
"name_prefix": "Ms.",
"credential": "MA, LPC, LIMHP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-18",
"last_updated": "2011-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1719",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "1036",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "LIMHP 344",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025397600",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gering, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.