MRS. NICHOLE ELIZABETH YOUNG MA, LPCC
NPI 1861099194
Counselor - Professional in Eagan, MN
About Mrs. Nichole Elizabeth Young Ma, Lpcc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NICHOLE ELIZABETH YOUNG MA, LPCC (NPI 1861099194) is an individual professional provider in Eagan, Minnesota, licensed in Minnesota (2608) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Nichole Elizabeth Young Ma, Lpcc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Nichole Young reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
St Louis Park, MN 55416
- Reassigned Medicare billing, Minnesota enrollment
- Medicare enrollment name: Park Nicollet Clinic
- 2,527 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 20
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 Nichole Young's NPI number?
The NPI number for Nichole Young is 1861099194. It was assigned to this individual provider in the NPPES registry on October 9, 2020.
Where is Nichole Young located?
Nichole Young practices at 2030 Rahn Way, Eagan, MN 55122. The listed phone number is (612) 400-6174.
What is Nichole Young's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.
Is Nichole Young enrolled in Medicare?
Yes. Nichole Young is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Nichole Young's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Young reassigns Medicare benefits to Park Nicollet Methodist Hospital (St Louis Park, MN). 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 Nichole Young's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nichole Young accept?
Health plans from CareSource (Common Ground Healthcare), HealthPartners, Quartz and Sanford Health Plan list Nichole 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 Nichole Young was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Mrs. Nichole Elizabeth Young, MA, LPCC · NPI 1861099194
Professional provider in Eagan, Minnesota. Individual provider, active in the CMS NPPES registry since October 9, 2020.
## Identity
- **NPI:** 1861099194 (Entity type: Individual)
- **Enumerated:** October 9, 2020
- **Primary specialty:** Counselor - Professional · taxonomy 101YP2500X
- **State license:** 2608 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2030 RAHN WAY, Eagan, MN 55122-2300
- **Phone:** (612) 400-6174
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Park Nicollet Methodist Hospital (NPI 1194113217, St Louis Park, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1861099194) · Data from the CMS NPPES public registry.