Individual provider Active NPI

Watasha Young

  • Professional Counselor
  • East Brunswick, NJ
National Provider Identifier
1376993733
Registry record updated Jul 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
190 Highway 18 Ste 304
East Brunswick, NJ 08816-1407
Phone
(732) 333-8520
NPI assigned
Jun 16, 2016
Sex
Female
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

190 Route 18
Suite 304
East Brunswick, NJ 08816

34 Walnut Park LN
Milton, NY 12547-5266

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20260317001318 NJ Practitioner - Mental Health Counselor 3779066816 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
A Freeman'S Place Counseling LLC CurrentSince Jan 12, 2025 Accepting new patients
A Freeman'S Place Counseling Professional CurrentSince Feb 1, 2026 Accepting new patients

Locations

190 Route 18
Ste 304
East Brunswick, NJ 08816
Phone (732) 333-8520

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

NPPES NPI Registry

Primary practice location

190 Highway 18 Ste 304
East Brunswick, NJ 08816-1407

Mailing address

190 Highway 18 Ste 304
East Brunswick, NJ 08816-1407
Phone (732) 333-8520

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 3, 2024.

{
    "created_epoch": "1466035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1376993733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 HIGHWAY 18 STE 304",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161407",
            "telephone_number": "732-333-8520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 HIGHWAY 18 STE 304",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088161407",
            "telephone_number": "732-333-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "WATASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-16",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.