Mark Young, L.P.C.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

19201 Issued in TX

Practice address

650 CR 4650
Mt. Pleasant, TX 75455

Phone

(903) 918-5073

Fax

(903) 645-2532

NPI assigned

Mar 3, 2007

Last updated

Jun 15, 2012By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339718400000",
    "number": "1275662645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "713 COUNTY ROAD 2110",
            "city": "DAINGERFIELD",
            "state": "TX",
            "postal_code": "756384409",
            "telephone_number": "903-918-5073",
            "fax_number": "903-285-6898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 CR 4650",
            "city": "MT. PLEASANT",
            "state": "TX",
            "postal_code": "75455",
            "telephone_number": "903-918-5073",
            "fax_number": "903-645-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "MARK",
        "credential": "L.P.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-03",
        "last_updated": "2012-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "19201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1718785-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "289291",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "7089LC",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Sapeta Wojcik, MD
• Jessica Ann Worley, PTA
• Lori Jennings Wright, SLP
• James Daniel Wyninegar
• Agnes Marie Yahl, FNP
• Mark Yu
• Edgar Zambrano, D.O.
• Keena Zarcone
• Hector Zuniga Hernandez, NP
• Patrick Jhon Zuniga, PT, DPT, NPI-CPS

• Professional Counselor in Mount Pleasant, TX
• Providers in Mount Pleasant, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.