MRS. KEIRA REVA YOUNG APC NCC
NPI 1053943761
Counselor - Mental Health in Mcdonough, GA
About Mrs. Keira Reva Young Apc Ncc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. KEIRA REVA YOUNG APC NCC (NPI 1053943761) is an individual mental health provider in Mcdonough, Georgia, licensed in (APC006400) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mcdonough, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Keira Reva Young Apc Ncc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Keira Young reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Miami, FL 33130
- Reassigned Medicare billing, Georgia enrollment
- 994 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Georgia enrollment
- 206 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keira Young's NPI number?
The NPI number for Keira Young is 1053943761. It was assigned to this individual provider in the NPPES registry on February 11, 2020.
Where is Keira Young located?
Keira Young practices at 1725 Pennsylvania Ave, Mcdonough, GA 30253. The listed phone number is (678) 853-5849.
What is Keira Young's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Keira Young enrolled in Medicare?
Yes. Keira Young is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Keira Young's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keira Young reassigns Medicare benefits to 2 organizations: Grow Healthcare Group PA (Miami, FL) and Sondermind Provider Network LLC (Denver, CO). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keira Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keira Young accept?
Health plans from Alliant Health Plans, Inc., Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 2 other insurers list Keira Young as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Keira Young was last updated on February 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Keira Reva Young, APC NCC · NPI 1053943761
Mental Health provider in Mcdonough, Georgia. Individual provider, active in the CMS NPPES registry since February 11, 2020.
## Identity
- **NPI:** 1053943761 (Entity type: Individual)
- **Enumerated:** February 11, 2020
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** APC006400
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1725 PENNSYLVANIA AVE, Mcdonough, GA 30253-9118
- **Phone:** (678) 853-5849
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Grow Healthcare Group PA (NPI 1245845932, Miami, FL); Sondermind Provider Network LLC (NPI 1760854442, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 11, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1053943761) · Data from the CMS NPPES public registry.