Ean Vincenzo Young, LPC, LMFT, CEAP, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

2817 Issued in LA

Practice address

600 Jefferson St
Suite 902
Lafayette, LA 70501-6942

Phone

(337) 993-0000

Fax

(337) 354-2410

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Mental Health Counselor

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Senior Psychological Care Dallas I LLC 72 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Senior Psychological Care Dallas I, LLC

  • Psychologist
  • Houston, TX
  • NPI 1649566795

  Professional, TX

  Medicare reassignment Care Compare group NPD
• Acadiana Employee Assessment & Referral Services, LLC

  • Professional Counselor
  • Lafayette, LA
  • NPI 1922050939

  Professional

  NPD (past)

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1241481600000",
    "number": "1003861683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 OLIVE VISTA DR",
            "city": "SCOTT",
            "state": "LA",
            "postal_code": "705835655",
            "telephone_number": "337-501-1255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JEFFERSON ST",
            "address_2": "SUITE 902",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705016942",
            "telephone_number": "337-993-0000",
            "fax_number": "337-354-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "EAN",
        "middle_name": "VINCENZO",
        "credential": "LPC, LMFT, CEAP, NCC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "LA",
            "license": "2817",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "LA",
            "license": "236",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Marie York
• Christy Yost
• Alaina M Young, BCBA, LBA
• Christopher Young
• Clinton Young, M.D.
• Elizabeth D. Young, LCSW
• Jessica Young, MS, CCC-SLP
• Krystal Young, LPN
• Lauren Michelle Young, DPT
• Michael James Young, DDS

• All providers in Lafayette, LA
• Professional Counselor in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.