Organization Active NPI

Ashford,Simmons, & Young Counseling Services, LLC

  • Professional Counselor
  • Columbia, SC
National Provider Identifier
1154335149
Registry record updated Jun 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ASHFORD,SIMMONS, & YOUNG COUNSELING SERVICES, LLC
Practice address
1825 Saint Julian PL Unit F1D-E
Columbia, SC 29204-2424
Phone
(803) 254-1210
NPI assigned
Jul 28, 2006
Last updated
Jun 10, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2008

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

Authorized official

Name
Mr. Christopher Young, M.A., M.E.D
Title
Partner Clinican
Phone
(803) 254-1210

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1825 Saint Julian PL Unit F1D-E
Columbia, SC 29204-2424

Mailing address

1825 Saint Julian PL Unit F1D-E
Columbia, SC 29204-2424
Phone (803) 254-1210

Other identifiers 1

IdentifierTypeStateIssuer
GP 4005MedicaidSC

National Provider Directory

National Provider Directory
Tax ID family
Ashford Simmons Young Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1825 Saint Julian Pl
Unit F1DE
Columbia, SC 29204
Phone (803) 254-1210

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": "1154044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213056000000",
    "number": "1154335149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SAINT JULIAN PL UNIT F1D-E",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042424",
            "telephone_number": "803-254-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 SAINT JULIAN PL UNIT F1D-E",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292042424",
            "telephone_number": "803-254-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHFORD,SIMMONS, & YOUNG COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-28",
        "last_updated": "2008-06-10",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PARTNER  CLINICAN",
        "authorized_official_telephone_number": "803-254-1210",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A., M.E.D"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP 4005",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2008; 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.