Individual provider Active NPI

Kathryn Young, MA LMHC

  • Mental Health Counselor
  • Albuquerque, NM
National Provider Identifier
1982168662
Registry record updated Jan 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CTL0201741 Issued in NM
Practice address
13400 Lomas Blvd NE Apt 117D
Albuquerque, NM 87112-6293
Phone
(505) 717-5992
NPI assigned
Jan 26, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X CTL0201741 NM Primary

Addresses

Primary practice location

13400 Lomas Blvd NE Apt 117D
Albuquerque, NM 87112-6293

Mailing address

13400 Lomas Blvd NE Apt 117D
Albuquerque, NM 87112-6293
Phone (505) 717-5992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240411003186 NM Practitioner - Mental Health Counselor 3577901420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2900 Vista del Rey NE
Unit 27a
Albuquerque, NM 87112-6703

2901 Juan Tabo Blvd NE
101E
Albuquerque, NM 87112-1886
Phone (505) 717-5992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
CTL0201741NMMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Coyote Counseling, LLC Mental Health CurrentSince Jan 13, 2024 Accepting new patients

Locations

2901 Juan Tabo Blvd NE
#101E
Albuquerque, NM 87112
Phone (505) 517-5992

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": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1982168662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13400 LOMAS BLVD NE APT 117D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871126293",
            "telephone_number": "505-717-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13400 LOMAS BLVD NE APT 117D",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871126293",
            "telephone_number": "505-717-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "KATHRYN",
        "credential": "MA LMHC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-26",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NM",
            "license": "CTL0201741",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.