Individual provider Active NPI

Angela Young, LCSWA

  • Counselor
  • Warrenton, NC
National Provider Identifier
1376974659
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Practice address
108 S Bragg St
Warrenton, NC 27589-2048
Phone
(801) 755-2717
NPI assigned
Dec 11, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Primary

Addresses

Primary practice location

108 S Bragg St
Warrenton, NC 27589-2048

Mailing address

108 S Bragg St
Warrenton, NC 27589-2048
Phone (828) 659-3418

Other practice location 1

5965 S 900 E
Murray, UT 84121-1720
Phone (801) 263-7138

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angela.young@nccare.net Direct

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

NPI Registry JSON

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589500800000",
    "number": "1376974659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 S BRAGG ST",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "275892048",
            "telephone_number": "828-659-3418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 S BRAGG ST",
            "city": "WARRENTON",
            "state": "NC",
            "postal_code": "275892048",
            "telephone_number": "801-755-2717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5965 S 900 E",
            "address_purpose": "LOCATION",
            "city": "Murray",
            "state": "UT",
            "postal_code": "841211720",
            "country_code": "US",
            "telephone_number": "801-263-7138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ANGELA",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angela.young@nccare.net",
            "affiliation": "N",
            "endpointDescription": "SI email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "108 S Bragg St",
            "city": "Warrenton",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275892048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warrenton, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2020; 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.