LISA YOUNG
NPI 1770325755
Counselor - Professional in Austin, TX
About Lisa Young NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LISA YOUNG (NPI 1770325755) is an individual professional provider in Austin, Texas and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS, maintains a secondary practice location in Austin, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lisa Young is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Austin, TX 78756
- Reassigned Medicare billing, Texas enrollment
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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 Lisa Young's NPI number?
The NPI number for Lisa Young is 1770325755. It was assigned to this individual provider in the NPPES registry on June 10, 2024.
Where is Lisa Young located?
Lisa Young practices at 1205 W 43rd St, Austin, TX 78756. The listed phone number is (512) 766-9802.
What is Lisa Young's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Lisa Young enrolled in Medicare?
Yes. Lisa Young is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Young's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Young reassigns Medicare benefits to Bloom Therapy, PLLC (Austin, TX). 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 Lisa Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Lisa Young was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Lisa Young · NPI 1770325755
Professional provider in Austin, Texas. Individual provider, active in the CMS NPPES registry since June 10, 2024.
## Identity
- **NPI:** 1770325755 (Entity type: Individual)
- **Enumerated:** June 10, 2024
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **Sole proprietor:** No
## Practice location
- **Address:** 1205 W 43RD ST, Austin, TX 78756-3301
- **Phone:** (512) 766-9802
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Bloom Therapy, PLLC (NPI 1649677006, Austin, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** June 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1770325755) · Data from the CMS NPPES public registry.