Clarence Young III

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

308 Sonata St
Waxahachie, TX 75165-3809

Phone

(972) 859-0772

NPI assigned

Jan 22, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1346052917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 PACIFIC AVE SUITE 2000 #2739",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SONATA ST",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751653809",
            "telephone_number": "972-859-0772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "CLARENCE",
        "name_suffix": "III",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Wright, FNP-C
• Roxanne Wyckoff, LCSW
• Brenda L Wyrick, NURSE PRACTIONER-FAM
• Craig S Yetter, DO
• Chak Lam Yeung, DO
• Dimple Yu, DMD
• Eman Yusuf, DDS
• Airmi Zolina, CNA

• Mental Health Counselor in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Mental Health Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; 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.