Keira Reva Young, APC NCC
NPI 1053943761ActiveIndividual· Counselor, Mental Health· McDonough, GA
Counselor, Mental Health (APC NCC) with Sondermind Provider Network LLC, practicing in McDonough, Georgia. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1053943761 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APC NCC |
| Sole proprietor | Yes |
| NPI issued | Feb 11, 2020 |
| Last updated in NPPES | Feb 11, 2020 |
| Certified by provider | Feb 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | APC006400 | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (GA) |
|---|
Education and affiliations
| Graduation year | 2017 |
|---|---|
| Medicare specialty | Mental Health Counselor |
| Telehealth | Offers telehealth |
Medical group
- Sondermind Provider Network LLCColumbus, OH · 1,339 clinicians
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