MENTAL HEALTH AND WELLNESS ON MAIN
NPI 1336872381
Clinic/Center - Mental Health (Including Community Mental Health Center) in Mammoth Spring, AR

Active since July 07, 2022
285 N ALLEY AVE, MAMMOTH SPRING, AR 72554(870) 907-1060(870) 907-0707 Get Directions Write a Review

NPPES record last updated: February 5, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 5, 2025, Oct 6, 2024, Nov 8, 2023 and 5 more (8 updates tracked since 2022).

About Mental Health And Wellness On Main NPPES

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

MENTAL HEALTH AND WELLNESS ON MAIN (NPI 1336872381), doing business as Young Psychiatry Llc, is a healthcare organization registered as a mental health (including community mental health center) in Mammoth Spring, Arkansas and active in the NPI registry since July 2022. The organization maintains 2 additional practice locations and lists Laura Collette Young, Ceo/prescriber, as its authorized official.

NPPES Registry Identity

NPI1336872381
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMENTAL HEALTH AND WELLNESS ON MAIN
Location Address285 N ALLEY AVEMammoth Spring, AR 72554-8149
Mailing AddressPo Box 152Basehor, KS 66007-0152 · (870) 907-1060 · Fax (870) 907-0707
Fax(870) 907-0707
Organization SubpartNo
Authorized OfficialLaura Collette YoungCeo/prescriber · (870) 907-1060
Enumeration DateJuly 7, 2022
Last NPPES UpdateFebruary 5, 20258 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2025
✔ NPI 1336872381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
285 N ALLEY AVE, Mammoth Spring, AR 72554

Other Names 1

Doing Business AsYoung Psychiatry Llc

Secondary Practice Locations 2

Location 1275 Main StMammoth Spring, AR 72554-7484 · Phone (913) 787-5292 · Fax (870) 606-2709
Location 215604 Pinehurst Dr Ste 3Basehor, KS 66007-8234 · Phone (870) 907-1060 · Fax (870) 907-0707

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mental Health And Wellness On Main is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Mental Health And Wellness On Main, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1689349243
12541 FOSTER ST
Overland Park, KS 66213
(913) 327-7505
✔ PECOS✔ Accepts Medicare239 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Mental Health And Wellness On Main's NPI number?

The NPI number for Mental Health And Wellness On Main is 1336872381. It was assigned to this organization in the NPPES registry on July 7, 2022. The provider is doing business as Young Psychiatry LLC.

Where is Mental Health And Wellness On Main located?

Mental Health And Wellness On Main is located at 285 N Alley Ave, Mammoth Spring, AR 72554. The listed phone number is (870) 907-1060.

What is Mental Health And Wellness On Main's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Mental Health And Wellness On Main enrolled in Medicare?

Yes. Mental Health And Wellness On Main is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mental Health And Wellness On Main?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Mental Health And Wellness On Main. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mental Health And Wellness On Main was last updated on February 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.