MRS. STACY MARIE YOUNG - NPI 1295264448 - Counselor in Dowagiac, MI

Q: What is Stacy Young's NPI number?

The NPI number for Stacy Young is 1295264448. It was assigned to this individual provider in the NPPES registry on June 9, 2017. The provider is also known as Miss Stacy Butler.

Q: What is Stacy Young's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Stacy Young was last updated on November 29, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mrs. Stacy Marie Young NPPES

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

MRS. STACY MARIE YOUNG (NPI 1295264448) is an individual counselor in Dowagiac, Michigan, licensed in Michigan (6401016096) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295264448

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. STACY MARIE YOUNG

Location Address32652 KNO DRIVEDowagiac, MI 49047

Mailing Address67160 Dailey RdEdwardsburg, MI 49112-9660 · (269) 845-0069

Phone(269) 982-3832

Sole ProprietorNo

Enumeration DateJune 9, 2017

Last NPPES UpdateNovember 29, 2023

NPPES CertifiedNovember 29, 2023

✔ NPI 1295264448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in MI · 6401016096

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 6401016096 (MI)

Also ListedMarriage & Family TherapistTaxonomy 106H00000X · License 4101006741 (MI)

32652 KNO DRIVE, Dowagiac, MI 49047

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Other Names 1

Former Name (1)Miss Stacy Butler

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Stacy Marie Young is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 7

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

MS. JENNIFER ERVIN LMHC, LPC

Counselor (Professional)