Organization Active NPI

Colleen Duffy Young, LLC

  • Professional Counselor
  • Watchung, NJ
National Provider Identifier
1922538420
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00555600 Issued in NJ
Legal business name
COLLEEN DUFFY YOUNG, LLC
Practice address
776 Mountain Blvd Ste 106
Watchung, NJ 07069-6269
Phone
(908) 385-8366
NPI assigned
Jun 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mrs. Colleen A. Young, M.A./ED.S., LPC, NCC
Title
Managing Member
Phone
(908) 385-8366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 37PC00555600 NJ Primary

Addresses

Primary practice location

776 Mountain Blvd Ste 106
Watchung, NJ 07069-6269

Mailing address

776 Mountain Blvd Ste 106
Watchung, NJ 07069-6269
Phone (908) 385-8366

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1922538420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "776 MOUNTAIN BLVD STE 106",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696269",
            "telephone_number": "908-385-8366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "776 MOUNTAIN BLVD STE 106",
            "city": "WATCHUNG",
            "state": "NJ",
            "postal_code": "070696269",
            "telephone_number": "908-385-8366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN DUFFY YOUNG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "908-385-8366",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A./ED.S., LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00555600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watchung, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.