Ebony Yvelle Young, LCP

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC013327 Issued in GA

Practice address

2022 15TH Ave
Columbus, GA 31901-1699

Phone

(706) 649-6500

Fax

(706) 649-6521

NPI assigned

Nov 16, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Pastoral Institute, Inc

  • Professional Counselor
  • Columbus, GA
  • NPI 1477605707
  NPD
• St Francis Health LLC

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1033228168
  NPD (past)

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

{
    "created_epoch": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1356050587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 15TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011699",
            "telephone_number": "706-649-6500",
            "fax_number": "706-649-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 15TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011699",
            "telephone_number": "706-649-6500",
            "fax_number": "706-649-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "EBONY",
        "middle_name": "YVELLE",
        "credential": "LCP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-16",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC013327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy A Young, NP
• Courtney Anne Young, FNP-C
• Dawn Andrea Young, FNP
• Diana Gherghi Young, CRNA
• Dustin A Young
• Elizabeth Ann Young, CNIM
• Jenita J Young, RBT
• Nekitia Young
• Stephen C. Young, PT
• Sylvia Young

• Professional Counselor in Columbus, GA
• Providers in Columbus, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2022; 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.