Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jessica Young, LPC, CMHIMP

Individual provider Professional Counselor · NPI 1902200108

Jessica Young, LPC, CMHIMP is a Mental Health Counselor in Walworth, Wisconsin. Qualified in 2009, 17 years ago. Practices with Center for Change, LLC, a 2-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
17
Licensed in
WI
In the registry since
2014
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

129 Kenosha St
Walworth, WI 53184
Phone: (262) 607-2770
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 5479-125 (WI)

Record details

NPI number1902200108
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC , CMHIMP
Sole proprietorNo
NPI enumeratedOctober 16, 2014
Last updated in NPPESNovember 16, 2021
Certification dateNovember 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Center For Change, Llc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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