Individual provider Active NPI

Barnetta J Young, MS

  • Professional Counselor
  • Stone Mountain, GA
National Provider Identifier
1164692919
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC0003985 Issued in GA
Practice address
957 Main St Ste a-379
Stone Mountain, GA 30083-3060
Phone
(404) 766-6017
Fax
(770) 987-7327
NPI assigned
Mar 7, 2008
Last updated
Dec 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC0003985 GA Primary

Addresses

Primary practice location

957 Main St Ste a-379
Stone Mountain, GA 30083-3060

Mailing address

PO Box 161255
Atlanta, GA 30321-1255
Phone (678) 478-0387

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260407001874 GA Practitioner - Mental Health Counselor 7911472071 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC0003985GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Faithful Steps Therapy LLC Professional CurrentSince Dec 14, 2025 Accepting new patients

Locations

957 Main St
Ste A379
Stone Mountain, GA 30083
Phone (404) 766-6017

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1164692919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 161255",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303211255",
            "telephone_number": "678-478-0387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "957 MAIN ST STE A-379",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833060",
            "telephone_number": "404-766-6017",
            "fax_number": "770-987-7327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "BARNETTA",
        "middle_name": "J",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-07",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC0003985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

Verify at the official NPI Registry.