Active NPI
Brittanni T Young
- Marriage & Family Therapist
- Suwanee, GA
National Provider Identifier
1194007146
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 001464
- Practice address
- 6916 McGinnis Ferry Rd
Suite 100
Suwanee, GA 30024-1258 - Phone
- (678) 347-2153
- Fax
- (678) 680-5147
- NPI assigned
- Sep 15, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 001464 | GA | Primary |
| Marriage & Family Therapist | 106H00000X | 4585 | SC | |
| Marriage & Family Therapist | 106H00000X | IMT 2855 | FL |
Addresses
Primary practice location
6916 McGinnis Ferry Rd
Suite 100
Suwanee, GA 30024-1258
Mailing address
6916 McGinnis Ferry Rd
Suite 100
Suwanee, GA 30024-1258
Phone (678) 347-2153
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| LT1023 | Medicaid | SC |
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 |
|---|---|---|---|
| IMT 2855 | FL | MD | Marriage & Family Therapist |
| 001464 | GA | MD | Marriage & Family Therapist |
| 4585 | SC | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472688000000",
"number": "1194007146",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6916 MCGINNIS FERRY RD",
"address_2": "SUITE 100",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241258",
"telephone_number": "678-347-2153",
"fax_number": "678-680-5147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6916 MCGINNIS FERRY RD",
"address_2": "SUITE 100",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241258",
"telephone_number": "678-347-2153",
"fax_number": "678-680-5147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "BRITTANNI",
"middle_name": "T",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-15",
"last_updated": "2016-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "001464",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "SC",
"license": "4585",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "FL",
"license": "IMT 2855",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "LT1023",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.