Active NPI
Kristin Karae' Young
- Professional Counselor
- Milledgeville, GA
National Provider Identifier
1467042705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC006800
- Practice address
- 196 W Ga Highway 49 Apt F2
Milledgeville, GA 31061-5142 - Phone
- (404) 610-6551
- NPI assigned
- Jan 20, 2021
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC006800 | GA | Primary |
Addresses
Primary practice location
196 W Ga Highway 49 Apt F2
Milledgeville, GA 31061-5142
Mailing address
320 Remington Dr
Columbia, SC 29223-5315
Phone (404) 610-6551
Other practice location 1
320 Remington Dr
Columbia, SC 29223-5315
Phone (404) 610-6551
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 |
|---|---|---|---|
| APC006800 | GA | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611100800000",
"number": "1467042705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320 REMINGTON DR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292235315",
"telephone_number": "404-610-6551"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "196 W GA HIGHWAY 49 APT F2",
"city": "MILLEDGEVILLE",
"state": "GA",
"postal_code": "310615142",
"telephone_number": "404-610-6551"
}
],
"practiceLocations": [
{
"address_1": "320 Remington Dr",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292235315",
"country_code": "US",
"telephone_number": "404-610-6551",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YOUNG",
"first_name": "KRISTIN",
"middle_name": "KARAE'",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-20",
"last_updated": "2021-01-20",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC006800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milledgeville, GA
- Woodland Homes Day Program,LLC. (Papa & Nana's Adult Day Center)
- Wylene Satcher Worthen, REGISTERED NURSE
- Carmen Hobbs Wright
- John Wallace Wright, D.P.M.,P.C.
- Braelyn Paige Yates
- Wakisha Renee Young, RN
- Robert Youngblood, NP
- Your Way Staffing LLC
- Youth Development Corporation of America (Georgia SAFE)
- Muhamhad Arif Yusufi, M.D
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.