Active NPI
Rolland L Young, LCSW
- Clinical Social Worker
- Houston, TX
National Provider Identifier
1013229459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 37321
- Practice address
- 1712 Fairview St
Houston, TX 77006-1967 - Phone
- (713) 598-0110
- NPI assigned
- Jul 13, 2010
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 37321 | TX | Primary |
Addresses
Primary practice location
1712 Fairview St
Houston, TX 77006-1967
Mailing address
11402 Ashcroft Dr
Houston, TX 77035-2406
Phone (713) 598-0110
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Dec 12, 2024 through Dec 12, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37231 | TX | MD | Clinical Neuropsychologist |
| 37321 | TX | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eddins Counseling Group, PLLC | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327881600000",
"number": "1013229459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11402 ASHCROFT DR",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770352406",
"telephone_number": "713-598-0110"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1712 FAIRVIEW ST",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770061967",
"telephone_number": "713-598-0110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ROLLAND",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-07-13",
"last_updated": "2012-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "37321",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.