JON WALTER YOUNGS LPC NPI 1265878581

NPI Information

  • NPI: 1265878581
  • Provider Name: JON WALTER YOUNGS, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1870 LEONARD ST NE
    GRAND RAPIDS, MI
    ZIP 49505
  • Phone: (616) 956-9619

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NPI Details

Jon Walter Youngs, LPC is a professional counselor in Grand Rapids, MI with 24 years of experience. Jon Walter Youngs, LPC NPI is 1265878581. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1870 LEONARD ST NE
GRAND RAPIDS, MI
ZIP 49505-650
Phone: (616) 956-9619

The NPI 1265878581 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 5/14/2013 and was last updated on 2/2/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessional6401008610MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11715928MEDICAIDMICHIGAN
21265878581MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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