Andrew William Young

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1271 Jefferson Ave Apt a
Clovis, CA 93612-2002

Phone

(559) 579-8052

NPI assigned

Dec 8, 2020

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1003412685",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 JEFFERSON AVE APT A",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936122002",
            "telephone_number": "559-579-8052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1271 JEFFERSON AVE APT A",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936122002",
            "telephone_number": "559-579-8052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANDREW",
        "middle_name": "WILLIAM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Clovis",
            "affiliation": "N",
            "address_1": "1271 Jefferson Ave Apt A",
            "city": "Clovis",
            "state": "CA",
            "country_code": "US",
            "postal_code": "936122002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie M Yetko, RDH
• John Charles Yorga, RRT
• Vincent York
• Reid Yoshimura, PHARMD
• Taylor Christine Yost, MA CCC-SLP
• Lauren M. Yparrea
• Rey Quijano Yuliongsiu, D.D.S.
• Vladimir Yurukov
• Marybeth Yuskavage, MD
• Nancy Gina Zanicchi-Bobb, M.A. COUNSELING PSYC

• Mental Health Counselor in Clovis, CA
• Providers in Clovis, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.