Active NPI
Candice Dawn Young
- Counselor
- Oklahoma City, OK
National Provider Identifier
1427306919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 10948-B N. May Ave
Oklahoma City, OK 73120-4318 - Phone
- (405) 751-8966
- NPI assigned
- Aug 15, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
10948-B N. May Ave
Oklahoma City, OK 73120-4318
Mailing address
212 Midway Dr
Norman, OK 73072-4318
Phone (405) 443-9230
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200287120A | Medicaid | OK |
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": "1344988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346976000000",
"number": "1427306919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "212 MIDWAY DR",
"city": "NORMAN",
"state": "OK",
"postal_code": "730724318",
"telephone_number": "405-443-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10948-B N. MAY AVE",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731204318",
"telephone_number": "405-751-8966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CANDICE",
"middle_name": "DAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-15",
"last_updated": "2012-09-07",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200287120A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.