Elizabeth Young, LPC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

1448 Issued in MS

Practice address

1855 Lakeland Dr
Suite R 204
Jackson, MS 39216-4913

Phone

(601) 982-5376

Fax

(601) 982-5377

NPI assigned

Sep 27, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Liza Young Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285545600000",
    "number": "1649589565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 LAKELAND DR",
            "address_2": "SUITE R 204",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164913",
            "telephone_number": "601-982-5376",
            "fax_number": "601-982-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 LAKELAND DR",
            "address_2": "SUITE R 204",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164913",
            "telephone_number": "601-982-5376",
            "fax_number": "601-982-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-27",
        "last_updated": "2010-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MS",
            "license": "1448",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MS",
            "license": "1448",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": "1448",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MS",
            "license": "1448",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIZA",
            "last_name": "YOUNG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Aubrey Cain Young, PHARMD
• Christian Dean Young
• Christian M Young
• David Russell Young, MD
• Demetrius Young, LMT
• Genevieve M Young, PHARMD, RPH
• Grenisha L Young, APRN, FNP-C
• Jennifer Young, LPC
• Joanna Elizabeth Young, MD
• Joseph Spencer Young, D.M.D.

• Mental Health Counselor in Jackson, MS
• Providers in Jackson, MS by specialty
• Mental Health Counselor in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2010; 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.