Active NPI
Norman Alan Young, MDIV., LPC
- Mental Health Counselor
- Foley, AL
National Provider Identifier
1760626501
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 2757
- Practice address
- 201 E Camphor Ave
Foley, AL 36535-2819 - Phone
- (251) 943-2818
- Fax
- (251) 943-2144
- NPI assigned
- Apr 23, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1853 | TN | |
| Mental Health Counselor | 101YM0800X | 2757 | AL | Primary |
Addresses
Primary practice location
201 E Camphor Ave
Foley, AL 36535-2819
Mailing address
201 E Camphor Ave
Foley, AL 36535-2819
Phone (251) 943-2818
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Mental Health Counselor
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
5811 Jack Springs Rd
Atmore, AL 36502-5025
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2757 | AL | MD | Mental Health Counselor |
| 1853 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Poarch Band of Creek Indians | Current | Accepting new patients |
Locations
5811 Jack Springs Rd
Atmore, AL 36502
Phone (251) 368-9136
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/148f5931-d9cf-4d65-8c66-7021ed161b73/
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": "1240444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1250467200000",
"number": "1760626501",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "201 E CAMPHOR AVE",
"city": "FOLEY",
"state": "AL",
"postal_code": "365352819",
"telephone_number": "251-943-2818",
"fax_number": "251-943-2144"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E CAMPHOR AVE",
"city": "FOLEY",
"state": "AL",
"postal_code": "365352819",
"telephone_number": "251-943-2818",
"fax_number": "251-943-2144"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "NORMAN",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "MDIV., LPC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-23",
"last_updated": "2009-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "TN",
"license": "1853",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "AL",
"license": "2757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Foley, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.