Active NPI
Megan Young, LPC
- Professional Counselor
- Oconomowoc, WI
National Provider Identifier
1952995896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 8081-125
- Practice address
- 405 E Forest St
Oconomowoc, WI 53066-3707 - Phone
- (414) 510-2749
- NPI assigned
- Feb 22, 2021
- Last updated
- Feb 22, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 8081-125 | WI | |
| Professional Counselor | 101YP2500X | 8081-125 | WI | Primary |
Addresses
Primary practice location
405 E Forest St
Oconomowoc, WI 53066-3707
Mailing address
2119 E Kenilworth PL Apt 1
Milwaukee, WI 53202-1304
Phone (414) 510-2749
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2009 N 56TH St
Milwaukee, WI 53208-1609
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8081-125 | WI | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gibwater Enterprises LLC | Professional | Current | Accepting new patients |
Locations
1442 S 92nd St
West Allis, WI 53214
Phone (414) 378-8085
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Nora Mental Health
- Professional Counselor
- West Allis, WI
- NPI 1558176511
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613952000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613952000000",
"number": "1952995896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2119 E KENILWORTH PL APT 1",
"city": "MILWAUKEE",
"state": "WI",
"postal_code": "532021304",
"telephone_number": "414-510-2749"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 E FOREST ST",
"city": "OCONOMOWOC",
"state": "WI",
"postal_code": "530663707",
"telephone_number": "414-510-2749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "MEGAN",
"name_prefix": "Ms.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-02-22",
"last_updated": "2021-02-22",
"certification_date": "2021-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WI",
"license": "8081-125",
"primary": false
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "WI",
"license": "8081-125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oconomowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.