Amy L Young, MSED., LPC, NCC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

37PC00316800 Issued in NJ

Practice address

3100 Route 138 West
Building 3 - Suite 1
Wall Township, NJ 07719-9021

Phone

(973) 294-0519

NPI assigned

Sep 16, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• By Design Social Skills LLC

  • Professional Counselor
  • Wall Township, NJ
  • NPI 1104460187
  NPD (past)

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

{
    "created_epoch": "1568592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572825600000",
    "number": "1679123152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 ROUTE 138 WEST",
            "address_2": "BUILDING 3 - SUITE 1",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199021",
            "telephone_number": "908-360-2977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 ROUTE 138 WEST",
            "address_2": "BUILDING 3 - SUITE 1",
            "city": "WALL TOWNSHIP",
            "state": "NJ",
            "postal_code": "077199021",
            "telephone_number": "973-294-0519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "AMY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "MSED., LPC, NCC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-16",
        "last_updated": "2019-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00316800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert William Wood
• William S Wood, DMD
• Natalie S Woszczak, PYS.D
• Vanitha Yadalla, MD
• YMCA of the Jersey Shore
• Dawn Michelle Young, PT
• Michele Young
• Zero Surgery Centers, LLC
• Yun Yan Zheng, MS, PA-C

• Professional Counselor in Wall Township, NJ
• Providers in Wall Township, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.