Travis D. Young II

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

0710103129 Issued in VA

Practice address

235 W Lancaster Ave
Devon, PA 19333-1560

Phone

(443) 279-7396

Fax

(410) 878-1962

NPI assigned

Mar 9, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: beyondhousingsolutions.travisyoung@140938.advancedmd-direct.com

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.

• Beyond Housing Solutions, Inc.

  • Counselor
  • Baltimore, MD
  • NPI 1790291359
  NPD (past)
• Moore and Moore Management, LLC

  • Counselor
  • Baltimore, MD
  • NPI 1235645896
  NPD (past)

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1780187401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W LANCASTER AVE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331560",
            "telephone_number": "484-551-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W LANCASTER AVE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331560",
            "telephone_number": "443-279-7396",
            "fax_number": "410-878-1962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TRAVIS",
        "middle_name": "D.",
        "name_prefix": "Mr.",
        "name_suffix": "II",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-09",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "2058",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "VA",
            "license": "0710103129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meron Woldearegaye
• Gina Wolf, DPT, PT, ATC
• Woods Physical Therapy LLC
• Cynthia Wyatt, OTR/L
• Rachel Michele Yerkes
• Kimberly Grace Zahlaway, LICSW MSW
• Lorraine Yvonne Zeno
• Stephanie Zubia

• Professional Counselor in Devon, PA
• Providers in Devon, PA by specialty
• Professional Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.