Active NPI
Geraldine Young, LPC LICENSED PROFESS
- Counselor
- Marshall, TX
National Provider Identifier
1427101781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- LPC4706
- Practice address
- 410 W Grand
Marshall, TX 75670 - Phone
- (903) 935-2099
- Fax
- (903) 935-2090
- NPI assigned
- Jan 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LPC4706 | TX | Primary |
Addresses
Primary practice location
410 W Grand
Marshall, TX 75670
Mailing address
NP11 Lake Cherokee
Longview, TX 75603
Phone (903) 643-7453
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC4706 | TX | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harris Behavioral & Educational Consulting Services, L.L.C | Counselor | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Counselor
- Longview, TX
- NPI 1487920419
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1427101781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "NP11 LAKE CHEROKEE",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "75603",
"telephone_number": "903-643-7453",
"fax_number": "903-643-7453"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 W GRAND",
"city": "MARSHALL",
"state": "TX",
"postal_code": "75670",
"telephone_number": "903-935-2099",
"fax_number": "903-935-2090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "GERALDINE",
"name_prefix": "Ms.",
"credential": "LPC LICENSED PROFESS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "LPC4706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marshall, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.