Individual provider Active NPI

Erin R Young, LPC

  • Professional Counselor
  • Wayne, NJ
National Provider Identifier
1942615174
Registry record updated Jun 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
37PC00451400 Issued in NJ
Practice address
22 Riverview Dr Ste 201
Wayne, NJ 07470-3115
Phone
(973) 628-8530
NPI assigned
Jun 26, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2014

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 37PC00451400 NJ Primary

Addresses

Primary practice location

22 Riverview Dr Ste 201
Wayne, NJ 07470-3115

Mailing address

22 Riverview Dr Ste 201
Wayne, NJ 07470-3115
Phone (973) 628-8530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240214003406 NJ Practitioner - Mental Health Counselor 5395189609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Newbridge Services, IncGroup PAC ID 3072598978, 9 clinicians

Practice addresses (Care Compare)

640 Newark Pompton Tpke
Pompton Plains, NJ 07444-1735
Phone (973) 839-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37PC00451400NJMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Newbridge Services, Inc. CurrentSince Jan 3, 2024 Accepting new patients
Newbridge Services, Inc. PastSince Jan 3, 2024 Accepting new patients

Locations

1069 Ringwood Ave
Ste 202
Haskell, NJ 07420
Phone (973) 628-8530

7 Industrial Rd
Ste 300
Pequannock, NJ 07440

7 Industrial Rd
Pequannock, NJ 07440
Phone (973) 686-2227

640 Newark Pompton Tpke
Pompton Plns, NJ 07444
Phone (973) 839-2700

22 Riverview Dr
Ste 201
Wayne, NJ 07470
Phone (973) 628-8530

Organizations & group practices 2

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": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403740800000",
    "number": "1942615174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 RIVERVIEW DR STE 201",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703115",
            "telephone_number": "973-628-8530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 RIVERVIEW DR STE 201",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074703115",
            "telephone_number": "973-628-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOUNG",
        "first_name": "ERIN",
        "middle_name": "R",
        "name_prefix": "Mrs.",
        "credential": "LPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2014-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "37PC00451400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wayne, NJ

Sources for this page

Verify at the official NPI Registry.