MR. BENJAMIN M YOUNG (NPI# 1568983997) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568983997 |
| Entity Type | Individual |
| Full Name | MR. BENJAMIN M YOUNG |
| Credential | LMHC, MHP |
| Practice Address |
4807 196th St Sw Ste 100 Lynnwood WA 98036 |
| Mailing Address |
4807 196th St Sw Lynnwood WA 98036-6430 |
| Practice Telephone | 4257744269 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2018-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH60869790 | WA | Behavioral Health & Social Service Providers |
| N | 101YM0800X |
Counselor Specialization: Mental Health |
MC60761069 | WA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21907 64th Ave W Ste 200, Mountlake Terrace, WA 980436200 | 4256407009 | 4256409600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568848745 | Benjamin Young | Occupational Therapy Assistant | 415 Countryside Dr, Ossian, IN 46777-9116 | 2015-08-10 |
| 1205243938 | Benjamin Young | Counselor | 136 Madison Ave, New York, NY 10016 | 2014-07-15 |
| 1043295165 | Benjamin Wayne Young Jr. | Dentist | 730 Forrestal St, Ste 102, Kingsville, TX 78363-5112 | 2005-12-12 |
| 1629615141 | Benjamin Young | Community Health Worker | 857 E 200 S, Salt Lake City, UT 84102-2317 | 2019-12-03 |
| 1538657846 | Benjamin Young | Physician Assistant | 751 S Bascom Ave, San Jose, CA 95128 | 2018-04-23 |
| 1003336645 | Benjamin Young | Optometrist | 1400 Vfw Pkwy, West Roxbury, MA 02132-4927 | 2017-06-25 |
| 1447602362 | Benjamin Young | Internal Medicine | 1500 E Medical Center Dr, Ann Arbor, MI 48109-5000 | 2016-07-02 |
| 1013385244 | Benjamin Young | Foster Care Agency | 704 N State Road 51, Spanish Fork, UT 84660-1385 | 2015-09-03 |
| 1740576297 | Benjamin T Young | Internal Medicine | 123 Medical Center Dr, Brunswick, ME 04011-2652 | 2011-06-23 |
| 1326205113 | Benjamin Edward Young II | Internal Medicine | 14010 Smoketown Rd, Suite 117, Woodbridge, VA 22192-4704 | 2008-05-20 |
| Street Address |
4807 196TH ST SW STE 100 |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295843050 | Lee John Wilner Jr. | Counselor | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2006-08-29 |
| 1700353612 | Hannah Gunnin | Counselor | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2018-10-29 |
| 1992286504 | Cheryl Ann St Sauver | Registered Nurse | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2018-08-22 |
| 1942716105 | Rosalie H Kroeker | Counselor | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2017-12-22 |
| 1891205886 | Megan Schmierer | Marriage & Family Therapist | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2017-10-04 |
| 1790212678 | Kimberly E Wenger | Counselor | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2017-05-22 |
| 1174055123 | Jamie Fredeen | Student in an Organized Health Care Education/Training Program | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2017-03-29 |
| 1497111546 | James Kirk Salyer | Counselor | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2016-01-05 |
| 1457782633 | Laura Jane Larkin | Counselor | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2013-12-12 |
| 1164670147 | Lisa Jay Hade | Counselor | 4807 196th St Sw Ste 100, Lynnwood, WA 98036-6409 | 2008-09-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598372062 | Sheryl L Copeland | Counselor | 20315 73rd Ave W, Lynnwood, WA 98036-5806 | 2020-09-28 |
| 1629686654 | Emotesy Child and Family Counseling Services, Pllc | Counselor | 16521 13th Ave W Ste 112, Lynnwood, WA 98037-8513 | 2020-07-15 |
| 1194341685 | Lakeview Mental Health | Counselor | 19109 36th Ave W Ste 210, Lynnwood, WA 98036-5767 | 2020-06-19 |
| 1255987368 | Pacific Mental Health LLC | Counselor | 5108 196th St Sw Ste 350, Lynnwood, WA 98036-6169 | 2019-08-14 |
| 1457835381 | Michael Robert Martindale | Counselor | 16717 Alderwood Mall Pkwy, Apt K407, Lynnwood, WA 98037-9803 | 2018-09-17 |
| 1063990661 | Kyong Yim | Counselor | 17300 Highway 99, Lynnwood, WA 98037-3142 | 2018-08-06 |
| 1609386663 | Beth Ellen Friedland | Counselor | 20102 Cedar Valley Rd Ste 201, Lynnwood, WA 98036-6333 | 2017-10-04 |
| 1598130049 | Sandra Sue Ellis | Counselor | 20102 Cedar Valley Rd Ste 106, Lynnwood, WA 98036-6333 | 2015-12-09 |
| 1053786095 | Cecily Woodard | Counselor | 4715 212th St Sw, Lynnwood, WA 98036-7725 | 2015-12-02 |
| 1174991731 | Matthew Keeker | Counselor | 15001 35th Ave W, Apt 03-205, Lynnwood, WA 98087-2343 | 2015-09-11 |
| Find all providers in LYNNWOOD | ||||
Please comment or provide details below to improve the information on MR. BENJAMIN M YOUNG.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.