CLORISSA YOUNG MA, LCPC
NPI 1689117368
Counselor - Professional in Montgomery, IL

Active since November 29, 2016
92 CIRCLE DR W, MONTGOMERY, IL 60538(815) 531-4561 Get Directions Write a Review

NPPES record last updated: July 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 19, 2022, Mar 20, 2017 (2 updates tracked since 2017).

About Clorissa Young Ma, Lcpc NPPES

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

CLORISSA YOUNG MA, LCPC (NPI 1689117368) is an individual professional provider in Montgomery, Illinois, licensed in Illinois (180.012944) and active in the NPI registry since November 2016.

NPPES Registry Identity

NPI1689117368
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCLORISSA YOUNGCredential: MA, LCPC
Location Address92 CIRCLE DR WMontgomery, IL 60538-2502
Mailing Address92 Circle Dr WMontgomery, IL 60538-2502 · (815) 531-4561
Sole ProprietorYes
Enumeration DateNovember 29, 2016
Last NPPES UpdateJuly 19, 20222 updates tracked since enumeration
NPPES CertifiedJuly 19, 2022
NPI 1689117368 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 IL · 180.012944
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 178.010903 (IL)
92 CIRCLE DR W, Montgomery, IL 60538

Other Names 1

Professional Name (2)Cloie Mcphail Lcpc

Other Providers at the Same Location NPPES

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

Counselor (Professional)
92 CIRCLE DR W
MONTGOMERY, IL 60538

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 Clorissa Young's NPI number?

The NPI number for Clorissa Young is 1689117368. It was assigned to this individual provider in the NPPES registry on November 29, 2016. The provider is also known as Cloie Mcphail Lcpc.

Where is Clorissa Young located?

Clorissa Young practices at 92 Circle Dr W, Montgomery, IL 60538. The listed phone number is (815) 531-4561.

What is Clorissa Young's specialty?

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

When was this NPI record last updated?

The NPPES record for Clorissa Young was last updated on July 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.