Jon Walter Youngs, LPC in Grand Rapids, MI - Medicare Counselor Provider

Jon Walter Youngs, LPC is a medicare enrolled "Counselor - Professional" provider in Grand Rapids, Michigan. His current practice location is 1870 Leonard St Ne, Grand Rapids, Michigan. You can reach out to his office (for appointments etc.) via phone at (616) 956-9619.

Jon Walter Youngs is licensed to practice in Michigan (license number 6401008610) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265878581.

Contact Information

	Jon Walter Youngs, LPC
	1870 Leonard St Ne, Grand Rapids, MI 49505-5650
	(616) 956-9619
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jon Walter Youngs
Gender	Male
Speciality	Counselor - Professional
Location	1870 Leonard St Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265878581
Provider Enumeration Date: 05/14/2013
Last Update Date: 02/02/2024

Medicare PECOS Information:

PECOS PAC ID: 6901254515
Enrollment ID: I20231120003519

Medical Identifiers

Medical identifiers for Jon Walter Youngs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265878581	NPI	-	NPPES
1715928	Medicaid	MI
1265878581	Medicaid	MI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	6401008610 (Michigan)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jon Walter Youngs allows following entities to bill medicare on his behalf.

Entity Name	Pine Rest Christian Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jon Walter Youngs is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jon Walter Youngs, LPC 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000	Jon Walter Youngs, LPC 1870 Leonard St Ne, Grand Rapids, MI 49505-5650 Ph: (616) 956-9619

Reviews and Comments

Counselor in Grand Rapids, MI

Mrs. Dana Kay Anderson, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-254-7741 Fax: 616-254-7750
Marilyn Dale, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5005 Plainfield Ave Ne Ste 100, Grand Rapids, MI 49525 Phone: 616-279-3869 Fax: 616-608-4657
Brittani Shaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Eastern Ave Ne, Grand Rapids, MI 49503 Phone: 616-818-4803 Fax: 616-710-5176
Tao Chance Brown-edwards, Counselor Medicare: Not Enrolled in Medicare Practice Location: 300 68th St Se, Grand Rapids, MI 49548 Phone: 616-455-5000
Lauren Marie Snoeyink, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1295 68th St Se, Grand Rapids, MI 49508 Phone: 616-970-3724
Amanda Joy Rewa, MA, LLPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 221 Trowbridge St Ne Apt 208, Grand Rapids, MI 49503 Phone: 231-755-8284
Mrs. Marian Evelyn Lilly, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Jefferson Ave Se, Grand Rapids, MI 49503 Phone: 616-356-6247 Fax: 616-732-6392

Jon Walter Youngs, LPC - Medicare Counselor in Grand Rapids, MI