Terry L Young, LPC, LCDC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

77597 Issued in TX

Practice address

3632 FM 3061
Thorndale, TX 76577-8537

Phone

(512) 365-4678

NPI assigned

Feb 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Anchor to Serenity LLC

  • Professional Counselor
  • Rockdale, TX
  • NPI 1619556123
  NPD

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1669939708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3632 FM 3061",
            "city": "THORNDALE",
            "state": "TX",
            "postal_code": "76577",
            "telephone_number": "512-446-2282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3632 FM 3061",
            "city": "THORNDALE",
            "state": "TX",
            "postal_code": "765778537",
            "telephone_number": "512-365-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TERRY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LPC, LCDC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "12704",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "77597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Leigh Paulsen, RN, NP-C
• Cheryl Lyn Prince
• Thorndale Isd
• Whitney Elayne White, FNP-C
• Melissa Dee Whitmire, MSN, APRN, FNP-C

• Professional Counselor in Thorndale, TX
• Providers in Thorndale, TX by specialty
• Professional Counselor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2019; 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.