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Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum Sole proprietor

Kelly Jane Young, CRADC

Substance Use Disorder Rehabilitation Clinic/Center in Joplin, MO · enumerated 2021 · practices at St Jude Home Care of the Four States, LLC.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104588177

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Registry record

Entity type Individual (Type 1)
Name Kelly Jane Young
Credential CRADC
Sex Female
Practice address Joplin, MO, 64801
Phone (417) 553-0043
Fax (417) 553-0081
Enumeration date Oct 7, 2021
Last updated in NPPES Oct 7, 2021

Street address withheld: NPPES sole-proprietor addresses can be home addresses. See our data policy.

Taxonomy & licenses

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers · License 4486 (MO) Secondary
175T00000X Peer Specialist Other Service Providers · License 10017 Secondary
261QM0850X Adult Mental Health Clinic/Center Ambulatory Health Care Facilities · License 2821 (MO) Secondary
261QM0855X Adolescent and Children Mental Health Clinic/Center Ambulatory Health Care Facilities · License 2821 (MO) Secondary
261QR0405X Substance Use Disorder Rehabilitation Clinic/Center Ambulatory Health Care Facilities · License 2821 (MO) Primary

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where does Kelly Young practice?
The practice location on file with NPPES is in Joplin, MO. Providers can have multiple locations; NPPES lists the primary practice address.
What is the NPI number for Kelly Young?
The National Provider Identifier (NPI) for Kelly Young is 1104588177, a Type 1 (individual) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-07.