NPIMap

Organization Active NPI

Young Talkers, LLC

  • Speech-Language Pathologist
  • Myrtle Beach, SC
National Provider Identifier
1265685085
Registry record updated Oct 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3868 Issued in SC
Legal business name
YOUNG TALKERS, LLC
Practice address
4720 Hwy 17 Byp S Ste E
Myrtle Beach, SC 29588-1622
Phone
(843) 457-1053
Fax
(843) 293-9110
NPI assigned
Oct 23, 2008
Last updated
Oct 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2008

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

Authorized official

Name
Nicole Michelle Young, M.A., CCC-SLP
Title
Director/Speech Therapist
Phone
(843) 457-1053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3868 SC Primary

Addresses

Primary practice location

4720 Hwy 17 Byp S Ste E
Myrtle Beach, SC 29588-1622

Mailing address

4720 Hwy 17 Byp S Ste E
Myrtle Beach, SC 29588-1622
Phone (843) 457-1053

Other identifiers 1

IdentifierTypeStateIssuer
SA0704MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111220000041 SC Part B Supplier - Clinic/Group Practice 9436324514 Receives reassigned benefits from 1 practitioner
Practice locations: Myrtle Beach, SC

National Provider Directory

National Provider Directory
Tax ID family
Young Talkers2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4720 Highway 17 Byp S
Ste E
Myrtle Beach, SC 29588
Phone (843) 457-1053

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1224720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224720000000",
    "number": "1265685085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 HWY 17 BYP S STE E",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295881622",
            "telephone_number": "843-457-1053",
            "fax_number": "843-293-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 HWY 17 BYP S STE E",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "295881622",
            "telephone_number": "843-457-1053",
            "fax_number": "843-293-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YOUNG TALKERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-23",
        "last_updated": "2008-10-23",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "DIRECTOR/SPEECH THERAPIST",
        "authorized_official_telephone_number": "843-457-1053",
        "authorized_official_credential": "M.A., CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "SC",
            "license": "3868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SA0704",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.