Active NPI
Eric Dale Young, M.S.
- Mental Health Counselor
- Anniston, AL
National Provider Identifier
1306665617
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- ALC05061
- Practice address
- 1302 Noble St Ste 3F
Anniston, AL 36201-4678 - Phone
- (256) 225-6418
- NPI assigned
- Oct 4, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | ALC05061 | AL | Primary |
Addresses
Primary practice location
1302 Noble St Ste 3F
Anniston, AL 36201-4678
Mailing address
3545 Grandview Pkwy Apt 308
Birmingham, AL 35243-2073
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ALC05061 | AL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728000000000",
"number": "1306665617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3545 GRANDVIEW PKWY APT 308",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352432073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 NOBLE ST STE 3F",
"city": "ANNISTON",
"state": "AL",
"postal_code": "362014678",
"telephone_number": "256-225-6418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ERIC",
"middle_name": "DALE",
"credential": "M.S.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-10-04",
"last_updated": "2024-10-04",
"certification_date": "2024-10-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "ALC05061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anniston, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.