Jamie Young, L.M.F.T.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC20750 Issued in CA

Practice address

505 Larkpur Ave
Corona del Mar, CA 92625

Phone

(949) 735-7678

NPI assigned

Jan 16, 2014

Last updated

Jan 10, 2020By the provider in NPPES

Sex

Female

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 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jamie M Young LMFT

  • Community/Behavioral Health Agency
  • Corona del Mar, CA
  • NPI 1174143861
  NPD Authorized official

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

{
    "created_epoch": "1389830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578614400000",
    "number": "1295157741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 LARKSPUR AVE",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "926252317",
            "telephone_number": "949-735-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 LARKPUR AVE",
            "city": "CORONA DEL MAR",
            "state": "CA",
            "postal_code": "92625",
            "telephone_number": "949-735-7678"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "812 W Town and Country Rd",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684712",
            "country_code": "US",
            "telephone_number": "714-547-6494 x239",
            "fax_number": "714-547-9990",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JAMIE",
        "credential": "L.M.F.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-16",
        "last_updated": "2020-01-10",
        "certification_date": "2020-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC20750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPIST",
            "identifier": "1295157741",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Garrett Emanon Wdowin, NMD
• Lisa Jean Welton, PT
• Harish Yalamanchili, M.D.
• Anthony Marcus Yniguez, FNP-C
• Jacqueline Younesi, DDS
• Younger & Associates DDS PC (Ivory Dental Boutique)
• Cole Younger, D.D.S.
• Rand N Youssef, RPH
• James Zager, M.D.
• Sohila Zarandy, M.D.

• Marriage & Family Therapist in Corona del Mar, CA
• Providers in Corona del Mar, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2020; 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.