Individual provider Active NPI

Ashley Young, LPC

  • Professional Counselor
  • Hattiesburg, MS
National Provider Identifier
1851806095
Registry record updated Aug 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Practice address
201 Blue Gable Rd Apt 1103
Hattiesburg, MS 39401-3087
Phone
(769) 223-4955
NPI assigned
Dec 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 3342 MS
Professional Counselor 101YP2500X MS Primary

Addresses

Primary practice location

201 Blue Gable Rd Apt 1103
Hattiesburg, MS 39401-3087

Mailing address

PO Box 15232
Hattiesburg, MS 39404-5232
Phone (769) 223-4955

Other practice location 1

901 Ida Ave
Hattiesburg, MS 39401-7776
Phone (601) 582-5291

Other practice location 2

110 Patton Ave
Hattiesburg, MS 39401-6155
Phone (601) 582-1111

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

LicenseStateTypeSpecialty
3342MSMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1512950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1851806095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15232",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394045232",
            "telephone_number": "769-223-4955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BLUE GABLE RD APT 1103",
            "city": "HATTIESBURG",
            "state": "MS",
            "postal_code": "394013087",
            "telephone_number": "769-223-4955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Ida Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394017776",
            "country_code": "US",
            "telephone_number": "601-582-5291",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "110 Patton Ave",
            "address_purpose": "LOCATION",
            "city": "Hattiesburg",
            "state": "MS",
            "postal_code": "394016155",
            "country_code": "US",
            "telephone_number": "601-582-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ASHLEY",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-11",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MS",
            "license": "3342",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hattiesburg, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; 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.