Individual provider Active NPI

Tammy Terrell Young, MA, LPC

  • Professional Counselor
  • Stone Mountain, GA
National Provider Identifier
1821219734
Registry record updated Jun 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005432 Issued in GA
Practice address
2045 Rockbridge Rd
Suite 200
Stone Mountain, GA 30087-3551
Phone
(404) 916-4645
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC005432 GA Primary

Addresses

Primary practice location

2045 Rockbridge Rd
Suite 200
Stone Mountain, GA 30087-3551

Mailing address

2045 Rockbridge Rd
Suite 200
Stone Mountain, GA 30087-3551
Phone (404) 916-4645

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
LPC005432GAMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Yielded Hope Counseling Coaching & Consulting Professional Past Accepting new patients

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370995200000",
    "number": "1821219734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 ROCKBRIDGE RD",
            "address_2": "SUITE 200",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873551",
            "telephone_number": "404-916-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2045 ROCKBRIDGE RD",
            "address_2": "SUITE 200",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873551",
            "telephone_number": "404-916-4645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "TAMMY",
        "middle_name": "TERRELL",
        "name_prefix": "Ms.",
        "credential": "MA, LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2013-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2013; 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.