Active NPI
Walter C. Young, PHYSICIAN
- Mental Health Counselor
- Colorado Springs, CO
National Provider Identifier
1578528832
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Jul 20, 2015.
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 15681
- Practice address
- 25 N Spruce St
Colorado Springs, CO 80905-1436 - Phone
- (719) 327-5697
- Fax
- (719) 633-8741
- NPI assigned
- Apr 19, 2006
- Last updated
- Jul 8, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 15681 | CO | Primary |
Addresses
Primary practice location
25 N Spruce St
Colorado Springs, CO 80905-1436
Mailing address
25 N. Spruce St.
Coplorado Springs, CO 80921-1436
Phone (719) 327-5697
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15681 | CO | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1578528832",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N. SPRUCE ST.",
"city": "COPLORADO SPRINGS",
"state": "CO",
"postal_code": "809211436",
"telephone_number": "719-327-5697",
"fax_number": "719-633-8741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N SPRUCE ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809051436",
"telephone_number": "719-327-5697",
"fax_number": "719-633-8741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "WALTER",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "PHYSICIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CO",
"license": "15681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.