Individual provider Active NPI

John Scott Young, PHD

  • Professional Counselor
  • Greensboro, NC
National Provider Identifier
1386887297
Registry record updated Apr 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
1506 Wenchelsa Rd
Greensboro, NC 27410-3521
Phone
(336) 288-2416
Fax
(336) 288-2416
NPI assigned
Apr 8, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 8, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary

Addresses

Primary practice location

1506 Wenchelsa Rd
Greensboro, NC 27410-3521

Mailing address

1506 Wenchelsa Rd
Greensboro, NC 27410-3521
Phone (336) 288-2416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411001550 NC Practitioner - Mental Health Counselor 9234653239 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
2123NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Young Counseling and Consulting, LLC Professional CurrentSince Apr 7, 2025 Accepting new patients
Triad Counseling & Clinical Service LLC PastSince Oct 11, 2022 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239148800000",
    "number": "1386887297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 WENCHELSA RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103521",
            "telephone_number": "336-288-2416",
            "fax_number": "336-288-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1506 WENCHELSA RD",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274103521",
            "telephone_number": "336-288-2416",
            "fax_number": "336-288-2416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "JOHN",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-08",
        "last_updated": "2009-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.