RAYNELLE ASHLEY YOUNG LMHC
NPI 1396220125
Counselor - Mental Health in New York, NY

Q: What is Raynelle Young's NPI number?

The NPI number for Raynelle Young is 1396220125. It was assigned to this individual provider in the NPPES registry on September 27, 2018.

Q: What is Raynelle Young's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Raynelle Young was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since September 27, 2018PECOS Enrolled

150 BROADWAY RM 502, NEW YORK, NY 10038(845) 279-5908 Get Directions Write a Review

NPPES record last updated: May 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 6, 2026, Sep 27, 2018 (2 updates tracked since 2018).

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About Raynelle Ashley Young Lmhc NPPES

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

RAYNELLE ASHLEY YOUNG LMHC (NPI 1396220125) is an individual mental health provider in New York, New York, licensed in New York (016678) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1396220125

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameRAYNELLE ASHLEY YOUNGCredential: LMHC

Location Address150 BROADWAY RM 502New York, NY 10038-4380

Mailing Address150 Broadway Rm 502New York, NY 10038-4380

Phone(845) 279-5908

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 27, 2018

Last NPPES UpdateMay 6, 20262 updates tracked since enumeration

NPPES CertifiedMay 6, 2026

✔ NPI 1396220125 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 NY · 016678

150 BROADWAY RM 502, New York, NY 10038

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raynelle Ashley Young Lmhc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4385113083

PECOS Enrollment IDI20260512001505

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 13

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

ISABELLA OCCHIPINTI LMHC

Counselor (Mental Health)