Individual provider Active NPI

India Lashawn Young, LPC

  • Professional Counselor
  • Atlanta, GA
National Provider Identifier
1336640374
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC007795 Issued in GA
Practice address
2255 Cumberland Pkwy SE Ste 150
Atlanta, GA 30339-4515
Phone
(678) 567-0920
NPI assigned
Feb 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC007795 GA Primary

Addresses

Primary practice location

2255 Cumberland Pkwy SE Ste 150
Atlanta, GA 30339-4515

Mailing address

2255 Cumberland Pkwy SE Ste 150
Atlanta, GA 30339-4515
Phone (404) 576-8994

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

LicenseStateTypeSpecialty
LPC007795GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Infinite Hope Counseling and Consulting, LLC Professional CurrentSince Apr 6, 2021 Accepting new patients
Highland Rivers CSB Past Accepting new patients

Locations

2255 Cumberland Pkwy SE
Ste 150
Atlanta, GA 30339
Phone (404) 576-8994

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519603200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1336640374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 CUMBERLAND PKWY SE STE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394515",
            "telephone_number": "404-576-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2255 CUMBERLAND PKWY SE STE 150",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394515",
            "telephone_number": "678-567-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "INDIA",
        "middle_name": "LASHAWN",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-26",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; 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.