Amanda Caroline Young Enlow, MRC, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

5516 Issued in SC

Practice address

115 Stone Village Dr Ste E
Fort Mill, SC 29708-6489

Phone

(803) 216-1604

NPI assigned

Jun 21, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Amanda Caroline Young Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Healing Collective, LLC

  • Clinical Social Worker
  • Fort Mill, SC
  • NPI 1902204639
  NPD

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682640000000",
    "number": "1609162403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 NORWAY LN",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297328398",
            "telephone_number": "803-216-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 STONE VILLAGE DR STE E",
            "city": "FORT MILL",
            "state": "SC",
            "postal_code": "297086489",
            "telephone_number": "803-216-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENLOW",
        "first_name": "AMANDA",
        "middle_name": "CAROLINE YOUNG",
        "credential": "MRC, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2023-04-28",
        "certification_date": "2023-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "SC",
            "license": "5516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "322842",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "YOUNG",
            "middle_name": "CAROLINE",
            "credential": "MRC, LPC-I",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Encompass Health Rehabilitation Hospital of Fort Mill, LLC (Encompass Health Rehabilitation Hospital of Fort Mill)
• Energize Health & Wellness LLC
• Energize Therapy Services, PC
• Sanaa English, RBT
• Enlightenment Healthcare LLC
• Kasey Knight Ennis, LPC-A
• Epic Care Health LLC
• Epic Care Health LLC (Epic Care Palliative)
• Lisa Erikson, PT
• Juan Carlos Escobar, DC

• Mental Health Counselor in Fort Mill, SC
• Providers in Fort Mill, SC by specialty
• Mental Health Counselor in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2023; 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.