Individual provider Active NPI

Kathleen A. Youngs, MA, LPC, LIMHP

  • Mental Health Counselor
  • Gering, NE
National Provider Identifier
1912926270
Registry record updated Apr 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LIMHP 344 Issued in NE
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

Updated by the provider on Apr 22, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
10025397600MedicaidNE

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

LicenseStateTypeSpecialty
LIMHP 344NEMDMental Health Counselor
1719NEMDPhysical Therapist
1036NEMDPhysical 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.

Verify at the official NPI Registry.