KELSIE TEE YOUNG (LPC-1975) – Professional Counselor, NPI 1386102663

KELSIE TEE YOUNG (LPC-1975) is a healthcare provider. based in Cheyenne, Wyoming. specializing in MENTAL HEALTH COUNSELOR. They hold the professional credentials LPC-1975. They hold a License No. LPC-1975 (WY). The NPI Number for KELSIE TEE YOUNG (LPC-1975) is 1386102663

Main info

Female
Sole Proprietor
7 Years Of Experience
Accepts Medicare Assignment
Name
KELSIE TEE YOUNG (LPC-1975)
NPI
1386102663
Phone
(307) 426-4728
Address
510 W 29TH ST
Enumeration Date
6 March 2019
Last Update Date
13 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3073343666
Graduation Year
2019 (7 years ago)
PAC ID
0345645545
Group Practice PAC ID
0648454587
Professional Enrollment ID
I20240111002839
Address ID
WY822255208LU905XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
kyoung45917@direct.crmcwy.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:7State licenses:1Other namesUpdated within 12 months

271 MENTAL HEALTH COUNSELOR in WY

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Provider Addresses for KELSIE TEE YOUNG (LPC-1975)

  • Peak Wellness Center for Youth & Family, 510, West 29th Street, Cheyenne, Laramie County, Wyoming, 82001, United States

    CHEYENNE, WY 820012760

    Phone: (307) 426-4728

    Type: Mailing

  • 2526, Seymour Avenue, Cheyenne, Laramie County, Wyoming, 82001, United States

    CHEYENNE, WY 820013159

    Phone: (307) 634-9653

    Type: Location

  • 2600 E 18th St

    Cheyenne, WY 820015511

    Phone: (307) 633-7370

    Fax: (307) 633-7202

    Type: Location

  • 309 E 8TH ST

    LUSK, WY 822255030

    Phone: (307) 421-1628

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-01-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240111002839IMental Health CounselorWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 82001)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0648454587View full group profile
NameSpecialtyState
Marriage And Family TherapistID
Mental Health CounselorWY
Mental Health CounselorMT
Clinical Social WorkerWY
Clinical Social WorkerCO
Clinical Social WorkerWY
Clinical Social WorkerWY
Nurse PractitionerID
Clinical Social WorkerWY
Clinical Social WorkerID

Reviews

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Frequently asked questions

How do I look up KELSIE TEE YOUNG (LPC-1975) by NPI?
Use NPI 1386102663 when you need to reference KELSIE TEE YOUNG (LPC-1975) in forms, claims, or directories.
Is KELSIE TEE YOUNG (LPC-1975)'s NPI currently valid?
The extract we use shows KELSIE TEE YOUNG (LPC-1975) as active.
What field does KELSIE TEE YOUNG (LPC-1975) work in?
You can think of KELSIE TEE YOUNG (LPC-1975) as practicing within Professional Counselor. Clinical services aligned with this taxonomy classification.
What location shows for KELSIE TEE YOUNG (LPC-1975)?
We surface Cheyenne, Wyoming for KELSIE TEE YOUNG (LPC-1975) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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