KENNETH YOUNG LCDCII
NPI 1386179802
Counselor - Addiction (Substance Use Disorder) in Mansfield, OH

Q: What is Kenneth Young's NPI number?

The NPI number for Kenneth Young is 1386179802. It was assigned to this individual provider in the NPPES registry on April 21, 2017.

Q: What is Kenneth Young's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Young was last updated on July 3, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 21, 2017

580 PARK AVE W, MANSFIELD, OH 44906(833) 510-4357 Get Directions Write a Review

NPPES record last updated: July 3, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 3, 2024, Apr 21, 2017 (2 updates tracked since 2017).

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About Kenneth Young Lcdcii NPPES

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

KENNETH YOUNG LCDCII (NPI 1386179802) is an individual addiction (substance use disorder) provider in Mansfield, Ohio, licensed in (LCDCII.161754) and active in the NPI registry since April 2017. He maintains a secondary practice location in Shelby.

NPPES Registry Identity

NPI1386179802

Entity TypeIndividualMale

Primary Taxonomy101YA0400X

Provider Legal NameKENNETH YOUNGCredential: LCDCII

Location Address580 PARK AVE WMansfield, OH 44906-3722

Mailing Address4600 Montgomery Rd Ste 400Cincinnati, OH 45212-2600 · (513) 873-1269

Phone(833) 510-4357

Sole ProprietorNo

Enumeration DateApril 21, 2017

Last NPPES UpdateJuly 3, 20242 updates tracked since enumeration

NPPES CertifiedJuly 2, 2024

✔ NPI 1386179802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

Licenses✔ Licensed · LCDCII.161754✔ Licensed in OH · CDCA.161465

580 PARK AVE W, Mansfield, OH 44906

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Secondary Practice Location 1

Location 1169 Mansfield AveShelby, OH 44875-1832 · Phone (419) 292-9211

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.

MIRANDA S. SHELTON

Counselor (Addiction (Substance Use Disorder))