Marc J Young, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

MH7277 Issued in FL

Legal business name

MARC J YOUNG, LLC

Doing business as

First Coast Mental Health, PA

Practice address

1543 Kingsley Ave
Suite 6
Orange Park, FL 32073-4535

Phone

(904) 269-7200

Fax

(904) 269-0070

NPI assigned

Dec 2, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Marc Young, LMHCNPI 1669496691

Title

Licensed Mental Health Counselor

Phone

(904) 269-7200

Specialties & licenses 1

Addresses

Other names 1

• First Coast Mental Health, PA Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marc J Young, LMHC

  • Mental Health Counselor
  • Orange Park, FL
  • NPI 1669496691
  NPD (past) Authorized official

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449014400000",
    "number": "1134594195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1543 KINGSLEY AVE",
            "address_2": "SUITE 6",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "32073",
            "telephone_number": "904-269-7200",
            "fax_number": "904-269-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1543 KINGSLEY AVE",
            "address_2": "SUITE 6",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734535",
            "telephone_number": "904-269-7200",
            "fax_number": "904-269-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARC J YOUNG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2015-12-02",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "LICENSED MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "904-269-7200",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LMHC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "FL",
            "license": "MH7277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Coast Mental Health, PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dixie Manning, PT
• Janna Susanne Manning, MS CCC/SLP
• Samantha Amiya Mansur, DPT, PT
• Stephanie Mapp, D.M.D.
• Victor A Maquera, MD
• Marced, Inc (Queen of Angels)
• Karl Harold Marcellus, PHARMD
• Jose Luis Marcos-Arenal, DDS, MS
• Maria M. Ramirez. M.D., P.a.
• Haesook Marino, M.D.

• Mental Health Counselor in Orange Park, FL
• Providers in Orange Park, FL by specialty
• Mental Health Counselor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; 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.