DERICKA LEA YOUNG MS LPC NPI 1659831600

NPI Information

  • NPI: 1659831600
  • Provider Name: DERICKA LEA YOUNG, MS, LPC
  • Classification: Counselor - 101YP2500X
  • Specialization: Professional
  • Entity Type: Individual
  • Address: 4500 MERCANTILE PLZ DR STE 300
    FORT WORTH, TX
    ZIP 76137
  • Phone: (682) 258-9740

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NPI Details

Dericka Lea Young, MS, LPC is a professional counselor in Fort Worth, TX. Dericka Lea Young, MS, LPC NPI is 1659831600. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4500 MERCANTILE PLZ DR STE 300
FORT WORTH, TX
ZIP 76137-206
Phone: (682) 258-9740

The enumeration date for this NPI number is 3/24/2019 and was last updated on 9/27/2025.

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
1101YP2500XCounselorProfessional77911TEXASYes
2101YM0800XCounselorMental Health77911TEXASNo
3101Y00000XCounselor77911TEXASNo

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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