Active NPI
James Floyd Young, ISAS
- Addiction (Substance Use Disorder) Counselor
- Nampa, ID
National Provider Identifier
1902453509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 11882
- Practice address
- 504 11TH Ave S
Nampa, ID 83651-4243 - Phone
- (208) 936-2535
- Fax
- (208) 936-2534
- NPI assigned
- Aug 20, 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 | 11882 | ID | Primary |
Addresses
Primary practice location
504 11TH Ave S
Nampa, ID 83651-4243
Mailing address
504 11TH Ave S
Nampa, ID 83651-4243
Phone (208) 936-2535
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 |
|---|---|---|---|
| 11882 | ID | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566259200000",
"number": "1902453509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 11TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836514243",
"telephone_number": "208-936-2535",
"fax_number": "208-936-2534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "504 11TH AVE S",
"city": "NAMPA",
"state": "ID",
"postal_code": "836514243",
"telephone_number": "208-936-2535",
"fax_number": "208-936-2534"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "JAMES",
"middle_name": "FLOYD",
"credential": "ISAS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-20",
"last_updated": "2019-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "ID",
"license": "11882",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nampa, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.