KEITH YOUNG LCPC
NPI 1114087251
Counselor - Mental Health in Bangor, ME

Active since December 11, 2006PECOS EnrolledAccepts Medicare Assignment
175 UNION ST STE C, BANGOR, ME 04401(207) 951-7811(888) 972-1920 Get Directions Write a Review

NPPES record last updated: March 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Keith Young Lcpc NPPES

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

KEITH YOUNG LCPC (NPI 1114087251) is an individual mental health provider in Bangor, Maine, licensed in Maine (CC2353) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1114087251
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameKEITH YOUNGCredential: LCPC
Location Address175 UNION ST STE CBangor, ME 04401-6116
Mailing Address175 Union St Ste CBangor, ME 04401-6116 · (207) 951-7811 · Fax (888) 972-1920
Fax(888) 972-1920
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 11, 2006
Last NPPES UpdateMarch 23, 2020
NPPES CertifiedMarch 23, 2020
NPI 1114087251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in ME · CC2353
175 UNION ST STE C, Bangor, ME 04401

Other Identifiers 2

Medicaid286460099ME
Other100029ME · Anthem

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Keith Young Lcpc 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.

PECOS PAC ID4385089457
PECOS Enrollment IDI20240325002826
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Psychiatric/Mental Health)
175 UNION ST STE C
BANGOR, ME 04401
Social Worker (Clinical)
175 UNION ST STE C
BANGOR, ME 04401
Social Worker (Clinical)
175 UNION ST STE C
BANGOR, ME 04401

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1114087251, enumerated as an "individual" on December 11, 2006.

The provider is located at 175 UNION ST STE C BANGOR, ME 04401 and the phone number is (207) 951-7811.

Counselor with taxonomy code 101YM0800X and a focus in Mental Health.

The provider might be accepting Accepts: Harvard Pilgrim Health Care, Medicare, Medicaid. Please consult your insurance carrier or call the provider to verify.