Active NPI
Shalika Young
- Counselor
- Hampton, VA
National Provider Identifier
1245085141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- 13286
- Practice address
- 71 Hollywood Ave
Hampton, VA 23661-3133 - Phone
- (281) 513-6833
- NPI assigned
- Apr 23, 2024
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | 13286 | MO | Primary |
Addresses
Primary practice location
71 Hollywood Ave
Hampton, VA 23661-3133
Mailing address
71 Hollywood Ave
Hampton, VA 23661-3133
Phone (281) 513-6833
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 |
|---|---|---|---|
| 13286 | MO | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714089600000",
"number": "1245085141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71 HOLLYWOOD AVE",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236613133",
"telephone_number": "281-513-6833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 HOLLYWOOD AVE",
"city": "HAMPTON",
"state": "VA",
"postal_code": "236613133",
"telephone_number": "281-513-6833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "SHALIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-04-23",
"last_updated": "2024-04-26",
"certification_date": "2024-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "MO",
"license": "13286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hampton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.