Individual provider Active NPI

Philip Andrew Young

  • Addiction (Substance Use Disorder) Counselor
  • Midwest City, OK
National Provider Identifier
1730300245
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
Practice address
1200 S Air Depot Blvd Ste O
Midwest City, OK 73110-4848
Phone
(405) 931-9811
NPI assigned
May 1, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Primary

Addresses

Primary practice location

1200 S Air Depot Blvd Ste O
Midwest City, OK 73110-4848

Mailing address

1200 S Air Depot Blvd Ste O
Midwest City, OK 73110-4848
Phone (405) 931-9811

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20231222001392 OK Practitioner - Mental Health Counselor 0244680866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Homecare Advisors LLCGroup PAC ID 3173877362, 33 clinicians

Practice addresses (Care Compare)

1200 S Air Depot Blvd
Suite O
Midwest City, OK 73110-4848
Phone (405) 931-9811

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3750OKMDGeneral Practice Dentistry
543OKMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Homecare Advisors LLC CurrentSince Apr 21, 2025 Accepting new patients

Locations

2701 W University Blvd
Durant, OK 74701
Phone (580) 740-4053

1200 S Air Depot Blvd
Ste O
Midwest City, OK 73110
Phone (405) 931-9811

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1730300245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S AIR DEPOT BLVD STE O",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104848",
            "telephone_number": "405-931-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S AIR DEPOT BLVD STE O",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731104848",
            "telephone_number": "405-931-9811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "PHILIP",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midwest City, OK

Sources for this page

Verify at the official NPI Registry.