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MYRNA BORBON YOUNG LPC
NPI 1487693891
Counselor - Professional in Fayetteville, AR

Active since June 05, 2006PECOS Enrolled
130 E POPLAR ST STE C&D, FAYETTEVILLE, AR 72703(479) 435-6047(479) 755-3595 Get Directions Write a Review

NPPES record last updated: May 29, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Myrna Borbon Young Lpc NPPES

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

MYRNA BORBON YOUNG LPC (NPI 1487693891) is an individual professional provider in Fayetteville, Arkansas, licensed in Arkansas (P0807060) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1487693891
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMYRNA BORBON YOUNGCredential: LPC
Location Address130 E POPLAR ST STE C&DFayetteville, AR 72703
Mailing Address130 E Poplar St Ste C&dFayetteville, AR 72703-2532 · (479) 435-6047 · Fax (479) 755-3595
Phone(479) 435-6047
Fax(479) 755-3595
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateJune 5, 2006
Last NPPES UpdateMay 29, 2018
✔ NPI 1487693891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P0807060
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License A0507049 (AR), P0807060 (AR)
130 E POPLAR ST STE C&D, Fayetteville, AR 72703
Open in Google Maps ↗

Other Identifiers 1

Medicaid207210719AR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Arkansas Blue Cross and Blue Shield, Health Advantage, Octave.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Myrna Borbon Young Lpc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547741399
PECOS Enrollment IDI20260219004821
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.

Medicare Billing Reassignment

Medicare enrollment records show Myrna Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Stone Path Counseling, Plc
Same address
Mental Health
130 E POPLAR ST STE C
Fayetteville, AR 72703
  • Reassigned Medicare billing, Arkansas enrollment
  • 2 clinicians in this Medicare group
NPI 1023414885 (479) 435-6047

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 Myrna Young's NPI number?

The NPI number for Myrna Young is 1487693891. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Myrna Young located?

Myrna Young practices at 130 E Poplar St Ste C&d, Fayetteville, AR 72703. The listed phone number is (479) 435-6047.

What is Myrna Young's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Myrna Young enrolled in Medicare?

Yes. Myrna Young is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Myrna Young's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Myrna Young reassigns Medicare benefits to Stone Path Counseling, Plc (Fayetteville, AR). The 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 Myrna Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Myrna Young accept?

Health plans from Arkansas Blue Cross and Blue Shield, Health Advantage and Octave list Myrna Young as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Myrna Young was last updated on May 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.