Individual provider Active NPI

Susan Nelson Young, L.P.C., N.C.C.

  • Professional Counselor
  • Erie, PA
National Provider Identifier
1689893752
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
PC003765 Issued in PA
Practice address
1353 W 6TH St
Erie, PA 16505-2503
Phone
(814) 459-3272
Fax
(814) 459-3714
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X PC003765 PA Primary

Addresses

Primary practice location

1353 W 6TH St
Erie, PA 16505-2503

Mailing address

3118 Caughey Rd
Erie, PA 16506-2158
Phone (814) 459-3272

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240305004438 PA Practitioner - Mental Health Counselor 9739525320 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Samaritan Counseling Center of Western PAGroup PAC ID 3678826476, 12 clinicians

Practice addresses (Care Compare)

202 Beaver St
FL 3
Sewickley, PA 15143-1230
Phone 41274174301002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PC003765PAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Counseling Center of Western PA CurrentSince Jan 23, 2024 Accepting new patients

Locations

200 E North St
Butler, PA 16001
Phone (888) 200-9746

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689893752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3118 CAUGHEY RD",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165062158",
            "telephone_number": "814-459-3272",
            "fax_number": "814-459-3714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 W 6TH ST",
            "city": "ERIE",
            "state": "PA",
            "postal_code": "165052503",
            "telephone_number": "814-459-3272",
            "fax_number": "814-459-3714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "SUSAN",
        "middle_name": "NELSON",
        "name_prefix": "Mrs.",
        "credential": "L.P.C., N.C.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "PA",
            "license": "PC003765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Erie, PA

Sources for this page

Verify at the official NPI Registry.