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LISA MARIE YOUNG
NPI 1972170926
Counselor - Mental Health in Palm Bay, FL

Active since June 08, 2021PECOS Enrolled
3270 FRESNO AVE SE, PALM BAY, FL 32909(321) 591-4551 Get Directions Write a Review

NPPES record last updated: August 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2022, Jun 8, 2021 (2 updates tracked since 2021).

About Lisa Marie Young NPPES

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

LISA MARIE YOUNG (NPI 1972170926) is an individual mental health provider in Palm Bay, Florida, licensed in Florida (SW10096) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Arcadia.

NPPES Registry Identity

NPI1972170926
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameLISA MARIE YOUNG
Location Address3270 FRESNO AVE SEPalm Bay, FL 32909-8348
Mailing Address3270 Fresno Ave SePalm Bay, FL 32909-8348 · (321) 591-4551
Phone(321) 591-4551
Sole ProprietorYes
Enumeration DateJune 8, 2021
Last NPPES UpdateAugust 12, 20222 updates tracked since enumeration
NPPES CertifiedAugust 12, 2022
✔ NPI 1972170926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in FL · SW10096
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License SW10096 (FL)
3270 FRESNO AVE SE, Palm Bay, FL 32909
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Secondary Practice Location 1

Location 1725 N 12th Ave Bldg BArcadia, FL 34266-8752 · Phone (863) 494-1242

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Marie Young is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 1972170926. It was assigned to this individual provider in the NPPES registry on June 8, 2021.

Where is Lisa Young located?

Lisa Young practices at 3270 Fresno Ave SE, Palm Bay, FL 32909. The listed phone number is (321) 591-4551.

What is Lisa Young's specialty?

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

Is Lisa Young enrolled in Medicare?

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

What insurance does Lisa Young accept?

Health plans from Providence Health Plan list Lisa 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 Lisa Young was last updated on August 12, 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.