Organization Active NPI

Jeffrey S. Young, LCSW, P.C.

Doing business as Victor Counseling Practice

  • Community/Behavioral Health Agency
  • Victor, NY
National Provider Identifier
1700357126
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
JEFFREY S. YOUNG, LCSW, P.C.
Doing business as
Victor Counseling Practice
Practice address
6539 Anthony Drive
Suite a
Victor, NY 14564-1400
Phone
(585) 398-8835
Fax
(585) 398-7376
NPI assigned
Dec 11, 2018
Last updated
Dec 1, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Authorized official

Name
Mr. Jeffrey S Young, LCSW-RNPI 1578609681
Title
President
Phone
(585) 398-8835

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

6539 Anthony Drive
Suite a
Victor, NY 14564-1400

Mailing address

175 Morgan Rd
Scottsville, NY 14546-9653
Phone (585) 478-8199

Other names 1

  • Victor Counseling Practice Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1544486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606780800000",
    "number": "1700357126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 MORGAN RD",
            "city": "SCOTTSVILLE",
            "state": "NY",
            "postal_code": "145469653",
            "telephone_number": "585-478-8199",
            "fax_number": "585-398-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6539 ANTHONY DRIVE",
            "address_2": "SUITE A",
            "city": "VICTOR",
            "state": "NY",
            "postal_code": "145641400",
            "telephone_number": "585-398-8835",
            "fax_number": "585-398-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY S. YOUNG, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-11",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "585-398-8835",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victor Counseling Practice",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Victor Counseling Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; 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.