Active NPI
Willie Mae Young, LAC, CCGC
- Addiction (Substance Use Disorder) Counselor
- Opelousas, LA
National Provider Identifier
1154567071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 143
- Practice address
- 222 W North St
Opelousas, LA 70570-5244 - Phone
- (337) 845-4752
- Fax
- (337) 942-6575
- NPI assigned
- Dec 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 122 | LA | |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 143 | LA | Primary |
Addresses
Primary practice location
222 W North St
Opelousas, LA 70570-5244
Mailing address
222 W North St
Opelousas, LA 70570-5244
Phone (337) 845-4752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143 | LA | MD | Clinical Social Worker |
| 122 | LA | MD | Neurology Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1229990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1229990400000",
"number": "1154567071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 W NORTH ST",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705705244",
"telephone_number": "337-845-4752",
"fax_number": "337-942-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 W NORTH ST",
"city": "OPELOUSAS",
"state": "LA",
"postal_code": "705705244",
"telephone_number": "337-845-4752",
"fax_number": "337-942-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "WILLIE",
"middle_name": "MAE",
"credential": "LAC, CCGC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-12-23",
"last_updated": "2008-12-23",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "LA",
"license": "122",
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "LA",
"license": "143",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Opelousas, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 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.