Organization Active NPI

J. Wade Younger, LCSW, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Little Rock, AR
National Provider Identifier
1770320608
Registry record updated Jul 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
J. WADE YOUNGER, LCSW, PLLC
Practice address
5401 John F Kennedy Blvd Ste G
North Little Rock, AR 72116-6740
Phone
(870) 615-0238
NPI assigned
Jul 9, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2024

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

Authorized official

Name
Just Wade Younger, LCSWNPI 1023666351
Title
Owner/MHP
Phone
(870) 615-0238

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

5401 John F Kennedy Blvd Ste G
North Little Rock, AR 72116-6740

Mailing address

5619 C St
Little Rock, AR 72205-3313
Phone (870) 615-0238

National Provider Directory

National Provider Directory

Locations

5401 John F Kennedy Blvd
Ste G
North Little Rock, AR 72116
Phone (870) 615-0238

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720483200000",
    "number": "1770320608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5619 C ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722053313",
            "telephone_number": "870-615-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 JOHN F KENNEDY BLVD STE G",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166740",
            "telephone_number": "870-615-0238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "J. WADE YOUNGER, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A",
        "authorized_official_last_name": "YOUNGER",
        "authorized_official_first_name": "JUST",
        "authorized_official_middle_name": "WADE",
        "authorized_official_title_or_position": "OWNER/MHP",
        "authorized_official_telephone_number": "870-615-0238",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.