Healthcare Provider Details

I. General information

NPI: 1144908039
Provider Name (Legal Business Name): ZEN KASI, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/10/2023
Last Update Date: 10/20/2025
Certification Date: 10/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5510 CHEROKEE AVE STE 300 #1233
ALEXANDRIA VA
22312
US

IV. Provider business mailing address

5510 CHEROKEE AVE STE 300 #1233
ALEXANDRIA VA
22312
US

V. Phone/Fax

Practice location:
  • Phone: 703-822-5669
  • Fax:
Mailing address:
  • Phone: 703-822-5669
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN W YOUNG JR.
Title or Position: HEALTH COACH
Credential: DOCTOR OF SCIENCE
Phone: 703-822-5669