Active NPI
Carl Edward Young Jr., LPC MHSP
- Professional Counselor
- Memphis, TN
National Provider Identifier
1962316844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 7980
- Practice address
- 3911 Sundale Way W
Memphis, TN 38135-4211 - Phone
- (901) 550-4075
- NPI assigned
- Sep 29, 2026
- Last updated
- Sep 29, 2026
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 7980 | TN | Primary |
Addresses
Primary practice location
3911 Sundale Way W
Memphis, TN 38135-4211
Mailing address
3911 Sundale Way W
Memphis, TN 38135-4211
Phone (901) 550-4075
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1790640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1790640000000",
"number": "1962316844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 SUNDALE WAY W",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381354211",
"telephone_number": "901-550-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 SUNDALE WAY W",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381354211",
"telephone_number": "901-550-4075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "CARL",
"middle_name": "EDWARD",
"name_suffix": "Jr.",
"credential": "LPC MHSP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-09-29",
"last_updated": "2026-09-29",
"certification_date": "2026-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "TN",
"license": "7980",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.