Ashley Young Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ASHLEY YOUNG COUNSELING LLC

Practice address

471 Main St Ste 2
Antioch, IL 60002-3011

Phone

(847) 750-3479

NPI assigned

Dec 17, 2021

Organization subpart

No

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

Authorized official

Name

Ashley YoungNPI 1356905814

Title

Owner

Phone

(847) 922-4845

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ashley Young, LCPC

  • Professional Counselor
  • Antioch, IL
  • NPI 1356905814

  Professional

  NPD Authorized official

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

{
    "created_epoch": "1639699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639699200000",
    "number": "1639839673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "471 MAIN ST STE 2",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600023011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 MAIN ST STE 2",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600023011",
            "telephone_number": "847-750-3479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY YOUNG COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-17",
        "last_updated": "2021-12-17",
        "certification_date": "2021-12-17",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "847-922-4845"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1356905814",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Ma Gina D Augusto
• Donna C Baker, PT, DPT
• Monica Ann Baldwin, RDH

• All providers in Antioch, IL
• Professional Counselor in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2021; 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.