Active NPI
James Darryl Young, PC
- Counselor
- Cincinnati, OH
National Provider Identifier
1508099052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- License
- C0008324
- Practice address
- 9122 Montgomery Rd
Cincinnati, OH 45242-7745 - Phone
- (513) 791-3080
- NPI assigned
- Sep 1, 2009
- Sex
- Male
- 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 | C0008324 | OH | Primary |
Addresses
Primary practice location
9122 Montgomery Rd
Cincinnati, OH 45242-7745
Mailing address
9122 Montgomery Rd
Cincinnati, OH 45242-7745
Phone (513) 791-3080
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 |
|---|---|---|---|
| C0008324 | OH | MD | Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251763200000",
"number": "1508099052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9122 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452427745",
"telephone_number": "513-791-3080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9122 MONTGOMERY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452427745",
"telephone_number": "513-791-3080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JAMES",
"middle_name": "DARRYL",
"credential": "PC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-01",
"last_updated": "2009-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "OH",
"license": "C0008324",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.