Individual provider Active NPI

Kathleen M. Young, M.A.

  • Counselor
  • Chester Springs, PA
National Provider Identifier
1932187242
Registry record updated Oct 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
PC004013 Issued in PA
Practice address
74 Pottstown Pike
Suite 1001
Chester Springs, PA 19425-9519
Phone
(610) 458-8036
Fax
(610) 458-8856
NPI assigned
Jan 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X PC004013 PA Primary

Addresses

Primary practice location

74 Pottstown Pike
Suite 1001
Chester Springs, PA 19425-9519

Mailing address

74 Pottstown Pike
Suite 1001
Chester Springs, PA 19425-9519
Phone (610) 458-8036

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
PC004013PAMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Behavioral Health, LLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256256000000",
    "number": "1932187242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "74 POTTSTOWN PIKE",
            "address_2": "SUITE 1001",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259519",
            "telephone_number": "610-458-8036",
            "fax_number": "610-458-8856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74 POTTSTOWN PIKE",
            "address_2": "SUITE 1001",
            "city": "CHESTER SPRINGS",
            "state": "PA",
            "postal_code": "194259519",
            "telephone_number": "610-458-8036",
            "fax_number": "610-458-8856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KATHLEEN",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "M.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-06",
        "last_updated": "2009-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "PA",
            "license": "PC004013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester Springs, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2009; 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.