Individual provider Active NPI

Leslie Elizabeth Barnes-Young, PH.D.

  • Counseling Psychologist
  • Florence, SC
National Provider Identifier
1356349476
Registry record updated Aug 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
745 Issued in SC
Practice address
2141 Hoffmeyer Rd
Suite E
Florence, SC 29501-4077
Phone
(843) 868-1636
Fax
(843) 661-5588
NPI assigned
Jul 12, 2005
Last updated
Aug 5, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X 745 SC Primary

Addresses

Primary practice location

2141 Hoffmeyer Rd
Suite E
Florence, SC 29501-4077

Mailing address

2141 Hoffmeyer Rd
Suite E
Florence, SC 29501-4077
Phone (843) 868-1636

Other identifiers 3

IdentifierTypeStateIssuer
PS0425MedicaidSC
Q577481186OtherSCMEDICARE
GP4836OtherSCMEDICAID GROUP

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)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
745SCMDCounseling Psychologist

NPI Registry JSON

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

{
    "created_epoch": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1356349476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2141 HOFFMEYER RD",
            "address_2": "SUITE E",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014077",
            "telephone_number": "843-868-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2141 HOFFMEYER RD",
            "address_2": "SUITE E",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295014077",
            "telephone_number": "843-868-1636",
            "fax_number": "843-661-5588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES-YOUNG",
        "first_name": "LESLIE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "SC",
            "license": "745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PS0425",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "Q577481186",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP",
            "identifier": "GP4836",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; 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.