Organization Active NPI

Elizabeth Young Counseling LLC

  • Community/Behavioral Health Agency
  • Killingworth, CT
National Provider Identifier
1073023644
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
003145 Issued in CT
Legal business name
ELIZABETH YOUNG COUNSELING LLC
Practice address
85 Chestnut Hill Rd
Killingworth, CT 06419-1328
Phone
(203) 710-1953
NPI assigned
Oct 9, 2017
Last updated
Jul 24, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Authorized official

Name
Mrs. Elizabeth C Young
Title
LPC
Phone
(203) 710-1953

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU
Community/Behavioral Health Agency 251S00000X 003145 CT Primary

Addresses

Primary practice location

85 Chestnut Hill Rd
Killingworth, CT 06419-1328

Mailing address

85 Chestnut Hill Rd
Killingworth, CT 06419-1328
Phone (203) 710-1953

National Provider Directory

National Provider Directory

Locations

255 Route 80
Killingworth, CT 06419
Phone (203) 710-1953

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1507507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721779200000",
    "number": "1073023644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 CHESTNUT HILL RD",
            "city": "KILLINGWORTH",
            "state": "CT",
            "postal_code": "064191328",
            "telephone_number": "203-710-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 CHESTNUT HILL RD",
            "city": "KILLINGWORTH",
            "state": "CT",
            "postal_code": "064191328",
            "telephone_number": "203-710-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH YOUNG COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-09",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "203-710-1953",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CT",
            "license": "003145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killingworth, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.