Active NPI
Tammy Young
- Professional Counselor
- Occoquan, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701012700
- Practice address
- 210 Commerce St
Occoquan, VA 22125 - Phone
- (571) 230-5782
- NPI assigned
- Jul 27, 2023
- Last updated
- Jul 27, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701012700 | VA | Primary |
Addresses
Primary practice location
210 Commerce St
Occoquan, VA 22125
Mailing address
4393 Kevin Walker Dr
# 1051
Montclair, VA 22025-1636
Phone (571) 230-5782
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14000 Crown CT
Suite 101
Woodbridge, VA 22193-1461
Phone (703) 659-9900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Youth for Tomorrow New Life Center, Inc. | Professional | Current | Accepting new patients |
Locations
11835 Hazel Circle Dr
Bristow, VA 20136
Phone (703) 368-7995
14000 Crown Ct
Ste 101
Woodbridge, VA 22193
Phone (703) 659-9900
Organizations & group practices 1
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.
-
- Psychiatric Residential Treatment Facility
- Bristow, VA
- NPI 1316118292
Professional
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690416000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690416000000",
"number": "1194406751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4393 KEVIN WALKER DR",
"address_2": "# 1051",
"city": "MONTCLAIR",
"state": "VA",
"postal_code": "220251636",
"telephone_number": "571-230-5782"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 COMMERCE ST",
"city": "OCCOQUAN",
"state": "VA",
"postal_code": "22125",
"telephone_number": "571-230-5782"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "TAMMY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-07-27",
"last_updated": "2023-07-27",
"certification_date": "2023-07-27",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701012700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Occoquan, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.