Active NPI
Nathan Mark Young, M.A., L.P.C.
- Professional Counselor
- Charlottesville, VA
National Provider Identifier
1962675017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 0701004314
- Practice address
- 701 E High St
406 G&H Eighth St. N.E.
Charlottesville, VA 22902-5140 - Phone
- (434) 960-1053
- NPI assigned
- Apr 9, 2008
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 0701004314 | VA | Primary |
Addresses
Primary practice location
701 E High St
406 G&H Eighth St. N.E.
Charlottesville, VA 22902-5140
Mailing address
102 Champions Pointe Ter
Gordonsville, VA 22942-6961
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)
- Enrolled
- Credentials
- Master of Arts
Interoperability endpoints
- addictionallies.nathanyoung@150196.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207699200000",
"number": "1962675017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 CHAMPIONS POINTE TER",
"city": "GORDONSVILLE",
"state": "VA",
"postal_code": "229426961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 E HIGH ST",
"address_2": "406 G&H EIGHTH ST. N.E.",
"city": "CHARLOTTESVILLE",
"state": "VA",
"postal_code": "229025140",
"telephone_number": "434-960-1053"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YOUNG",
"first_name": "NATHAN",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "M.A., L.P.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-09",
"last_updated": "2008-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "VA",
"license": "0701004314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlottesville, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.