Active NPI
Carmen Nicole Young, NCE/NCSC
- School Counselor
- Purvis, MS
National Provider Identifier
1922802461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Counselor
- License
- 193676
- Practice address
- 449 Brown St
Purvis, MS 39401 - Phone
- (601) 794-1097
- NPI assigned
- Apr 3, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 193676 | MS | Primary |
Addresses
Primary practice location
449 Brown St
Purvis, MS 39401
Mailing address
3401 Rosewood Dr
Hattiesburg, MS 39401-4521
Phone (601) 307-6536
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 |
|---|---|---|---|
| 193676 | MS | MD | School Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743638400000",
"number": "1922802461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 ROSEWOOD DR",
"city": "HATTIESBURG",
"state": "MS",
"postal_code": "394014521",
"telephone_number": "601-307-6536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 BROWN ST",
"city": "PURVIS",
"state": "MS",
"postal_code": "39401",
"telephone_number": "601-794-1097"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CARMEN",
"middle_name": "NICOLE",
"credential": "NCE/NCSC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-04-03",
"last_updated": "2025-04-03",
"certification_date": "2025-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "MS",
"license": "193676",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Purvis, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.