Active NPI
Deborah Ann Young, LCAS
- Addiction (Substance Use Disorder) Counselor
- Greensboro, NC
National Provider Identifier
1619099587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 589
- Practice address
- 515 College Road
Suite 18
Greensboro, NC 27410 - Phone
- (336) 299-2725
- Fax
- (336) 299-2083
- NPI assigned
- Apr 4, 2007
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 589 | NC | Primary |
Addresses
Primary practice location
515 College Road
Suite 18
Greensboro, NC 27410
Mailing address
515 College Rd Ste 7
Greensboro, NC 27410-5150
Phone (336) 299-2725
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140TV | Other | NC | BCBS |
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 |
|---|---|---|---|
| 589 | NC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Recovery Center Inc | Current | Accepting new patients |
Locations
515 College Rd
Ste 7
Greensboro, NC 27410
Phone (336) 299-2725
Organizations & group practices 1
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.
-
- Adult Mental Health Clinic/Center
- Greensboro, NC
- NPI 1982290581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1619099587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 COLLEGE RD STE 7",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274105150",
"telephone_number": "336-299-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "515 COLLEGE ROAD",
"address_2": "SUITE 18",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "27410",
"telephone_number": "336-299-2725",
"fax_number": "336-299-2083"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "DEBORAH",
"middle_name": "ANN",
"credential": "LCAS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-04",
"last_updated": "2022-06-06",
"certification_date": "2020-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NC",
"license": "589",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "140TV",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.