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MIRACLE RENEE YOUNG TCM
NPI 1093438657
Case Manager/Care Coordinator in Louisa, KY

Active since September 20, 2022
125 S MAIN CROSS ST, LOUISA, KY 41230(606) 638-0938 Get Directions Write a Review

NPPES record last updated: May 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 29, 2025, Sep 20, 2022 (2 updates tracked since 2022).

About Miracle Renee Young Tcm NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRACLE RENEE YOUNG TCM (NPI 1093438657) is an individual case manager/care coordinator provider in Louisa, Kentucky and active in the NPI registry since September 2022.

NPPES Registry Identity

NPI1093438657
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameMIRACLE RENEE YOUNGCredential: TCM
Location Address125 S MAIN CROSS STLouisa, KY 41230-1330
Mailing Address125 S Main Cross StLouisa, KY 41230-1330 · (606) 638-0938
Phone(606) 638-0938
Sole ProprietorYes
Enumeration DateSeptember 20, 2022
Last NPPES UpdateMay 29, 20252 updates tracked since enumeration
NPPES CertifiedMay 29, 2025
✔ NPI 1093438657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
125 S MAIN CROSS ST, Louisa, KY 41230
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Other Identifiers 1

Medicaid1790731081KY

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOIS MICHELLE HUBBARD
Case Manager/Care Coordinator
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
CHARLOTTE WILLIAMSON LPCA
Counselor (Professional)
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
JOHN W. RILEY CADC
Counselor (Addiction (Substance Use Disorder))
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
RICHARD SKEENS
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
SHERRY DIANNE BIBBS JOHNSON RN
Registered Nurse (Addiction (Substance Use Disorder))
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 639-0938
KEITH JONES
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
BOBBY LEE HILL PSS
Peer Specialist
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938
MELISSA MAYNARD
Case Manager/Care Coordinator
125 S MAIN CROSS ST
LOUISA, KY 41230
Lawrence County (606) 638-0938

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 Miracle Young's NPI number?

The NPI number for Miracle Young is 1093438657. It was assigned to this individual provider in the NPPES registry on September 20, 2022.

Where is Miracle Young located?

Miracle Young practices at 125 S Main Cross St, Louisa, KY 41230. The listed phone number is (606) 638-0938.

What is Miracle Young's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Miracle Young was last updated on May 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.