Active NPI
Elizabeth Young, MS LPC
- Professional Counselor
- San Antonio, TX
National Provider Identifier
1730422684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 68301
- Practice address
- 6800 Park Ten Blvd
#138E
San Antonio, TX 78213-4211 - Phone
- (210) 738-2222
- NPI assigned
- Mar 28, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 68301 | TX | Primary |
Addresses
Primary practice location
6800 Park Ten Blvd
#138E
San Antonio, TX 78213-4211
Mailing address
9610 Roy Croft Ave
Helotes, TX 78023-4412
Phone (210) 379-1752
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 68301 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372896000000",
"number": "1730422684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9610 ROY CROFT AVE",
"city": "HELOTES",
"state": "TX",
"postal_code": "780234412",
"telephone_number": "210-379-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6800 PARK TEN BLVD",
"address_2": "#138E",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782134211",
"telephone_number": "210-738-2222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ELIZABETH",
"credential": "MS LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-28",
"last_updated": "2013-07-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TX",
"license": "68301",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.