Jason Scott Young

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12959564-3501 Issued in UT

Practice address

1384 W State Rd
Pleasant Grove, UT 84062-4130

Phone

(385) 202-4089

NPI assigned

Jun 23, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 and National Provider Directory roles.

• Penelope Bergeron Counseling

  • Clinical Social Worker
  • Spanish Fork, UT
  • NPI 1275110769
  NPD (past)

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

{
    "created_epoch": "1529712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1992290845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 W 250 S UNIT G105",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840625526",
            "telephone_number": "385-333-2232",
            "fax_number": "801-373-0639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1384 W STATE RD",
            "city": "PLEASANT GROVE",
            "state": "UT",
            "postal_code": "840624130",
            "telephone_number": "385-202-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JASON",
        "middle_name": "SCOTT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-23",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "12959564-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stelios Xanthos
• Jaime Yagge
• Natalie Yorgesen
• Breanna Young
• David B Young, D.O.
• Shannon D Young, MSWI
• Matthew Court Zollinger, DPT

• Clinical Social Worker in Pleasant Grove, UT
• Providers in Pleasant Grove, UT by specialty
• Clinical Social Worker in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; 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.