Individual provider Active NPI

Ashlee Nicole Crouse Young, MS, LCPC, LPC

  • Professional Counselor
  • Evans, GA
National Provider Identifier
1558630525
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC5482 Issued in MD
Practice address
1840 Preservation Cir
Evans, GA 30809
Phone
(410) 591-6535
NPI assigned
Dec 21, 2011
Last updated
Nov 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Professional Counselor 101YP2500X LPC011048 GA
Professional Counselor 101YP2500X LC5482 MD Primary

Addresses

Primary practice location

1840 Preservation Cir
Evans, GA 30809

Mailing address

1840 Preservation Cir
Evans, GA 30809-0685
Phone (410) 591-6535

Other practice location 1

1208 E Churchville Rd Ste 300
Bel Air, MD 21014-3485
Phone (443) 640-4358

Other practice location 2

102 Old Solomons Island Rd Ste 202
Annapolis, MD 21401-3879
Phone (410) 266-3058

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
LPC011048GAMDProfessional Counselor
LC5482MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Nikki Young Counseling, LLC Mental Health CurrentSince Mar 13, 2022 Accepting new patients
Bay Area Christian Counseling Mental Health PastSince Aug 1, 2019 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1558630525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 PRESERVATION CIR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308090685",
            "telephone_number": "410-591-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 PRESERVATION CIR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "30809",
            "telephone_number": "410-591-6535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1208 E Churchville Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210143485",
            "country_code": "US",
            "telephone_number": "443-640-4358",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "102 Old Solomons Island Rd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214013879",
            "country_code": "US",
            "telephone_number": "410-266-3058",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ASHLEE",
        "middle_name": "NICOLE CROUSE",
        "name_prefix": "Mrs.",
        "credential": "MS, LCPC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-21",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC011048",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.