Kala M Young, LCPC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

180-004871 Issued in IL

Practice address

5220 S 6TH Street Rd
Suite 2400
Springfield, IL 62703-5735

Phone

(217) 757-7700

Fax

(217) 757-7799

NPI assigned

Jul 10, 2012

Last updated

Jul 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kala M Young-Powell Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Mental Health Centers of Central Illinois

  dba Memorial Behavioral Health - Springfield Children's Center

  • Adolescent and Children Mental Health Clinic/Center
  • Springfield, IL
  • NPI 1457505125
  NPD (past)

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

{
    "created_epoch": "1341878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1972868479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 N 8TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627026324",
            "telephone_number": "217-525-1064",
            "fax_number": "217-525-1651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5220 S 6TH STREET RD",
            "address_2": "SUITE 2400",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627035735",
            "telephone_number": "217-757-7700",
            "fax_number": "217-757-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KALA",
        "middle_name": "M",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-10",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "IL",
            "license": "180-004871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KALA",
            "last_name": "YOUNG-POWELL",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Charlene J Young, CFNP
• Erica L. Young, PA-C
• Gregory L Young, AS-C
• Jakayla Young
• Jeffrey Alan Young, O.D.
• Tyona D Young, MD
• Angela G. Younker, NURSE PRACTITIONER
• Jenna Younker, CRNA
• Casey C Younkin, M.D.
• Allison Nicole Yu, MD

• Professional Counselor in Springfield, IL
• Providers in Springfield, IL by specialty
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2012; 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.