Active NPI
Eric Cole Young, CAC
- Addiction (Substance Use Disorder) Counselor
- Sarasota, FL
National Provider Identifier
1780148684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- CAC-100149
- Practice address
- 715 N Washington Blvd Ste E
Sarasota, FL 34236-4256 - Phone
- (706) 207-2714
- Fax
- (941) 914-9333
- NPI assigned
- Jan 24, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CAC-100149 | FL | Primary |
Addresses
Primary practice location
715 N Washington Blvd Ste E
Sarasota, FL 34236-4256
Mailing address
715 N Washington Blvd Ste E
Sarasota, FL 34236-4256
Phone (706) 207-2714
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CAC-100149 | FL | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548288000000",
"number": "1780148684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 N WASHINGTON BLVD STE E",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342364256",
"telephone_number": "706-207-2714",
"fax_number": "941-914-9333"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 N WASHINGTON BLVD STE E",
"city": "SARASOTA",
"state": "FL",
"postal_code": "342364256",
"telephone_number": "706-207-2714",
"fax_number": "941-914-9333"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "ERIC",
"middle_name": "COLE",
"credential": "CAC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-01-24",
"last_updated": "2019-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "FL",
"license": "CAC-100149",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.