Individual provider Active NPI

Norman Alan Young, MDIV., LPC

  • Mental Health Counselor
  • Foley, AL
National Provider Identifier
1760626501
Registry record updated Aug 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
2757 Issued in AL
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

Updated by the provider on Aug 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250815000182 TX Practitioner - Mental Health Counselor 6002315371 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
2757ALMDMental Health Counselor
1853TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Poarch Band of Creek Indians CurrentSince Jul 1, 2025 Accepting new patients

Locations

5811 Jack Springs Rd
Atmore, AL 36502
Phone (251) 368-9136

Interoperability endpoints

  • FHIR API: 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

Verify at the official NPI Registry.